Individual
DR. BRYAN R HOERTDOERFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1228 WANTAGH AVE, SUITE 102, WANTAGH, NY 11793-2209
(516) 679-7978
(516) 826-5830
Mailing address
9 BAYVIEW AVE, EAST SETAUKET, NY 11733-3903
(631) 675-0065
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
044865
NY
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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