Organization
RODNEY RASTEGAR DDS PLLC
Active
Organization
RODNEY RASTEGAR DDS PLLC
Active
Other names
Progressive Oral Surgery of Long Island
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER L DAVILA (OFFICE MANAGER)
(516) 741-4415
Entity
Organization
Contact information
Practice address
601 FRANKLIN AVE, SUITE 110, GARDEN CITY, NY 11530
(516) 741-4415
(516) 741-4417
Mailing address
23 BOND STREET, GREAT NECK, NY 11021
(516) 482-0329
(516) 482-0401
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
048692
NY
Other
Enumeration date
12/15/2009
Last updated
01/13/2016
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