Organization
CONCEPTUAL DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAIFALI RAMETRA DDS (PRESIDENT)
(631) 315-1020
Entity
Organization
Contact information
Practice address
229 CUBA HILL RD, HUNTINGTON, NY 11743-4805
(631) 315-1020
Mailing address
229 CUBA HILL RD, HUNTINGTON, NY 11743-4805
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
054475
NY
Other
Enumeration date
02/22/2011
Last updated
02/22/2011
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