Organization
CLOUDLAKE DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KUNAL SAGGAR DDS (MANAGING MEMBER)
(516) 992-6340
Entity
Organization
Contact information
Practice address
400 N BROADWAY, JERICHO, NY 11753-2113
(516) 992-6340
Mailing address
400 N BROADWAY, JERICHO, NY 11753-2113
(516) 992-6340
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
056153
NY
Other
Enumeration date
01/27/2017
Last updated
01/27/2017
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