Organization
ROCKLAND PERIODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN MA DMD (PRESIDENT)
(215) 485-8757
Entity
Organization
Contact information
Practice address
532 ROUTE 304, NEW CITY, NY 10956-2925
(215) 485-8757
Mailing address
532 ROUTE 304, NEW CITY, NY 10956-2925
(215) 485-8757
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
056313
NY
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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