Organization
COMMACK DENTAL CARE PLLC
Active
Parent organization
COMMACK DENTAL CARE PLLC
Other names
Your Smile Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMACK DENTAL CARE PLLC
Authorized official
VICTOR KATSMAN DDS (OWNER)
(631) 462-0300
Entity
Organization
Contact information
Practice address
6040 JERICHO TPKE, COMMACK, NY 11725-2806
(631) 462-0300
Mailing address
6040 JERICHO TPKE, COMMACK, NY 11725-2806
(631) 462-0300
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/01/2018
Last updated
10/26/2018
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