Organization
CATHOLIC CHARITIES DENTAL SERVICES
Active
Other names
Catholic Charities Dental Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FABIOLA MILORD D.D.S. (DENTAL DIRECTOR)
(516) 623-4420
Entity
Organization
Contact information
Practice address
333 NORTH MAIN STREET, FREEPORT, NY 11520
(516) 623-4420
(516) 623-1313
Mailing address
333 NORTH MAIN STREET, FREEPORT, NY 11520
(516) 623-4420
(516) 623-1313
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
045702
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01665336
—
NY
Enumeration date
08/07/2006
Last updated
07/31/2008
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