Organization
EXCELDENT DENTAL OF BROOKHAVEN LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHON WACHSPRESS D.D.S. (DENTIST)
(631) 732-0233
Entity
Organization
Contact information
Practice address
805 MIDDLE COUNTRY RD, SELDEN, NY 11784-2504
(631) 732-0233
(631) 732-0247
Mailing address
805 MIDDLE COUNTRY ROAD, SELDEN, NY 11784-2504
(631) 732-0233
(631) 732-0247
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
478633
NY
Other
Enumeration date
02/23/2009
Last updated
03/05/2009
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