Organization
BRENTWOOD DENTAL CARE
Active
Parent organization
FIVE STAR DENTAL LLP
Organization subpart
Yes
Provider details
NPI number
Legal business name
FIVE STAR DENTAL LLP
Authorized official
NAYAT BOSTANCI DDS (DENTIST/OWNER)
(631) 273-8111
Entity
Organization
Contact information
Practice address
1814 5TH AVE, BAY SHORE, NY 11706-1732
(631) 273-8111
(631) 434-7764
Mailing address
1814 FIFTH AVE, BAYSHORE, NY 11706
(631) 273-8111
(631) 434-7764
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
050187
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02405214
—
NY
Enumeration date
08/01/2008
Last updated
08/01/2008
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