Organization
BAYSIDE ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT LOUIS SHPUNTOFF D.D.S. (AUTHORIZED OFFICIAL)
(718) 229-5924
Entity
Organization
Contact information
Practice address
5515 LITTLE NECK PKWY, SUITE L05, LITTLE NECK, NY 11362-2244
(718) 229-5924
(718) 229-5622
Mailing address
5515 LITTLE NECK PKWY, SUITE L05, LITTLE NECK, NY 11362-2244
(718) 229-5924
(718) 229-5622
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
05/05/2007
Last updated
01/24/2014
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