Organization
DR MITCHELL BROOKSTONE DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITCHELL S BROOKSTONE DDS (PRESIDENT OWNER)
(516) 826-1666
Entity
Organization
Contact information
Practice address
1228 WANTAGH AVENUE, SUITE 101, WANTAGH, NY 11793
(516) 826-1666
(516) 783-7716
Mailing address
1228 WANTAGH AVENUE, SUITE 101, WANTAGH, NY 11793
(516) 826-1666
(516) 783-7716
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
042202
NY
Other
Enumeration date
04/16/2008
Last updated
04/16/2008
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