Organization
COMMACK PEDIATRIC DENTAL ASSOC LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC GHERMAN DDS (DENTIST/PARTNER)
(631) 499-2112
Entity
Organization
Contact information
Practice address
164 COMMACK RD., STE 4, COMMACK, NY 11725
(631) 499-2112
(631) 858-0586
Mailing address
164 COMMACK RD., STE 4, COMMACK, NY 11725
(631) 499-2112
(631) 858-0586
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
035281
NY
Other
Enumeration date
09/18/2008
Last updated
09/18/2008
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