Organization
ANDREW SACKSERDDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW N. SACKSER D.D.S (ORGANIZER)
(516) 248-6018
Entity
Organization
Contact information
Practice address
140 MINEOLA BLVD, MINEOLA, NY 11501-3974
(516) 248-6018
Mailing address
140 MINEOLA BLVD, MINEOLA, NY 11501-3974
(516) 248-6018
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
124Q00000X
Dental Hygienist
—
—
Other
Enumeration date
08/02/2012
Last updated
08/02/2012
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