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Organization

FENSTERSTOCK DENTAL PLLC

Active
Other names
Concerned Dental
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTINE BRANIGAN (EXECUTIVE ASST)
(631) 696-0100
Entity
Organization

Contact information

Practice address
657 AMSTERDAM AVENUE, NEW YORK, NY 10025
(212) 203-4792
Mailing address
657 AMSTERDAM AVE, NEW YORK, NY 10025-7448
(212) 203-4792

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
032077
NY

Other

Enumeration date
08/06/2018
Last updated
08/06/2018
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