Organization
BRIGHTWATER DENTAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALBERT ATTALLA DDS (VP PRESIDENT)
(631) 647-4994
Entity
Organization
Contact information
Practice address
200 HOWELLS RD, BAY SHORE, NY 11706-5351
(631) 647-4994
Mailing address
200 HOWELLS RD, BAY SHORE, NY 11706-5351
(631) 647-4994
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NY
Other
Enumeration date
12/17/2014
Last updated
12/17/2014
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