Organization
BARRY ORTENBERG GARY P JABLOW CHARLES A BAKER DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY ORTENBERG DDS (TREASURER)
(631) 736-2525
Entity
Organization
Contact information
Practice address
248 260 MIDDLE COUNTRY ROAD, CORAM, NY 11727-0449
(631) 736-2525
(631) 736-6825
Mailing address
PO BOX 449, CORAM, NY 11727
(631) 736-2525
(631) 736-6825
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
12/04/2006
Last updated
08/22/2020
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