Organization
CONCERNED DENTAL CARE OF HAUPPAUGE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY FENSTERSTOCK DDS (PRESIDENT)
(631) 724-0104
Entity
Organization
Contact information
Practice address
335 TERRY ROAD, HAUPPAUGE, NY 11788
(631) 724-0104
Mailing address
335 TERRY ROAD, HAUPPAUGE, NY 11788
(631) 724-0104
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
032077
NY
Other
Enumeration date
06/12/2012
Last updated
06/12/2012
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