Organization
EAST FORDHAM DENTAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE WHITE DDS (DENTIST)
(516) 538-0925
Entity
Organization
Contact information
Practice address
46 N FRANKLIN ST, HEMPSTEAD, NY 11550-3811
(516) 538-0925
Mailing address
46 N FRANKLIN ST, HEMPSTEAD, NY 11550-3811
(516) 538-0925
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
047129
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01951880
—
NY
Enumeration date
01/29/2011
Last updated
01/29/2011
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