Organization
MAGIC SMILES DENTISTRY OF LINDENHURST, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW NISSENBAUM (PRESIDENT)
(516) 982-2301
Entity
Organization
Contact information
Practice address
826 BUFFALO AVE, LINDENHURST, NY 11757-1658
(631) 226-5437
Mailing address
3 LEGENDS CIR, MELVILLE, NY 11747-5301
(516) 982-2301
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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