Organization
BRILLIANCE DENTAL OF LONG ISLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUSSEIN ABDELWAHAB (DENTIST)
(516) 485-1145
Entity
Organization
Contact information
Practice address
302 GREENWICH ST, HEMPSTEAD, NY 11550-6318
(516) 485-1145
Mailing address
302 GREENWICH ST, HEMPSTEAD, NY 11550-6318
(516) 485-1145
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/22/2018
Last updated
10/22/2018
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