Organization
DENTISTRY ON BROADWAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTONIO E. OLIVIERO D.D.S. (OWNER)
(516) 825-8009
Entity
Organization
Contact information
Practice address
133 BROADWAY, LYNBROOK, NY 11563
(516) 825-8009
(516) 825-1299
Mailing address
133 BROADWAY, LYNBROOK, NY 11563
(516) 825-8009
(516) 825-1299
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
045959
NY
1223G0001X
General Practice Dentistry
Primary
052985
NY
Other
Enumeration date
03/26/2007
Last updated
10/14/2009
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