Individual
DR. DAVID NATHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3 MEDICAL DR, SUITE D, PORT JEFFERSON STATION, NY 11776-1597
(631) 928-7500
(631) 928-7501
Mailing address
2 AMHERST CT, SETAUKET, NY 11733-1102
(631) 751-7580
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
027313-1
NY
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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