Individual
DR. INDHU MATHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2900 HEMPSTEAD TPKE, SUITE 111, LEVITTOWN, NY 11756-1404
(516) 579-0330
(516) 977-9679
Mailing address
2900 HEMPSTEAD TPKE, SUITE 111, LEVITTOWN, NY 11756-1404
(516) 579-0330
(516) 977-9679
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
051957
NY
Other
Enumeration date
02/24/2010
Last updated
02/24/2010
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