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Organization

ALAN S. GORMAN DDS,PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALAN STEVEN GORMAN DDS (PRESIDENT)
(516) 931-6663
Entity
Organization

Contact information

Practice address
100 MANETTO HILL RD, SUITE 311, PLAINVIEW, NY 11803-1311
(516) 931-6663
Mailing address
100 MANETTO HILL RD, SUITE 311, PLAINVIEW, NY 11803-1311
(516) 931-6663

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary

Other

Enumeration date
06/26/2012
Last updated
06/26/2012
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