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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