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Organization

BOHEMIA DENTAL ARTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JULIE DESIMONE D.M.D. (OWNER)
(631) 589-8585
Entity
Organization

Contact information

Practice address
1125 SMITHTOWN AVE, BOHEMIA, NY 11716-2160
(631) 589-8585
Mailing address
1125 SMITHTOWN AVE, BOHEMIA, NY 11716-2160
(631) 589-8585

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0532041
NY

Other

Enumeration date
12/04/2013
Last updated
12/04/2013
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