Organization
ENVISION DENTAL CARE PLLC
Active
Other names
Rockstar Dental PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAHUL PATHAK DDS (OWNER)
(845) 528-2500
Entity
Organization
Contact information
Practice address
17 OSCAWANA LAKE RD, 1ST FLOOR, PUTNAM VALLEY, NY 10579-3003
(845) 528-2500
(845) 528-2502
Mailing address
17 OSCAWANA LAKE RD, PO BOX 670, PUTNAM VALLEY, NY 10579-3003
(845) 528-2500
(845) 528-2502
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
056840
NY
Other
Enumeration date
07/18/2016
Last updated
05/21/2018
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