Organization
MARTIN R. BOORIN, DMD, PC
Active
Other names
Anesthesia for Dental Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN R. BOORIN DMD (PRESIDENT)
(516) 776-0716
Entity
Organization
Contact information
Practice address
1087 WESTMINSTER AVE, DIX HILLS, NY 11746-6340
(516) 776-0716
(631) 940-7227
Mailing address
P.O. BOX 107, HUNTINGTON STATION, NY 11746
(631) 940-3690
(631) 940-7227
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
039997
NY
1223D0004X
Dental Anesthesiology
Primary
039997
NY
1223D0004X
Dental Anesthesiology
220101606400
NJ
1223D0004X
Dental Anesthesiology
7006
CT
Other
Enumeration date
08/31/2006
Last updated
06/18/2013
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