Organization
ATLANTIC AVE DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT B SOUFERIAN DDS (PRESIDENT)
(516) 792-6952
Entity
Organization
Contact information
Practice address
96 ATLANTIC AVE, LYNBROOK, NY 11563-3461
(516) 792-6952
(516) 792-6953
Mailing address
96 ATLANTIC AVE, LYNBROOK, NY 11563-3461
(516) 792-6952
(516) 792-6953
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
050040
NY
Other
Enumeration date
08/24/2010
Last updated
08/24/2010
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