Organization
ARTISTIC DENTAL ASSOCIATES OF COMMACK LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE KOROLOGOS DDS (OWNER/DENTIST)
(631) 499-1212
Entity
Organization
Contact information
Practice address
6080 JERICHO TPKE, SUITE 207, COMMACK, NY 11725-2850
(631) 499-1212
(631) 499-2389
Mailing address
6080 JERICHO TPKE, SUITE 207, COMMACK, NY 11725-2850
(631) 499-1212
(631) 499-2389
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
048534
NY
1223P0700X
Prosthodontics
—
—
Other
Enumeration date
01/30/2012
Last updated
01/30/2012
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