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Organization

ALL NASSAU DENTAL PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EDOUARD ETLIS DDS (PRESIDENT)
(516) 538-8980
Entity
Organization

Contact information

Practice address
91 CLINTON ST, HEMPSTEAD, NY 11550-4211
(516) 538-8980
(516) 538-8988
Mailing address
91 CLINTON ST, HEMPSTEAD, NY 11550-4211
(516) 538-8980
(516) 538-8988

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
01/16/2025
Last updated
01/16/2025
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