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Organization

ADELBERG PEDIATRIC DENTAL PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AYNE M HOLMES BA (OFFICE MANAGER)
(631) 360-7337
Entity
Organization

Contact information

Practice address
260 E MAIN ST, SUITE 110, SMITHTOWN, NY 11787-2982
(631) 360-7337
(631) 360-3815
Mailing address
260 E MAIN ST, SUITE 110, SMITHTOWN, NY 11787-2982
(631) 360-7337
(631) 360-3815

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Enumeration date
02/01/2008
Last updated
02/01/2008
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