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Individual

STEVEN OPPENHEIMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
650 CENTRAL AVE STE J, CEDARHURST, NY 11516-2301
(516) 569-7753
Mailing address
650 CENTRAL AVE STE J, CEDARHURST, NY 11516-2301
(516) 569-7753

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
056159
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05900156
NY
Enumeration date
04/22/2011
Last updated
05/13/2020
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