Organization
NESCONSET DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN LAWRENCE CAESAR (OWNER)
(631) 724-0094
Entity
Organization
Contact information
Practice address
239 SMITHTOWN BLVD, NESCONSET, NY 11767-2418
(631) 724-0094
(631) 724-0142
Mailing address
239 SMITHTOWN BLVD, NESCONSET, NY 11767-2418
(631) 724-0094
(631) 724-0142
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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