Organization
MY SIMON DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW SIMON (OWNER)
(516) 377-1818
Entity
Organization
Contact information
Practice address
960 ATLANTIC AVE, BALDWIN, NY 11510-4265
(516) 377-1818
Mailing address
960 ATLANTIC AVE, BALDWIN, NY 11510-4265
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
055552
NY
Other
Enumeration date
03/28/2016
Last updated
03/28/2016
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