Organization
LI DENTAL GROUP, LLP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARMAN ROKSAR D.D.S. (DENTIST)
(516) 579-0330
Entity
Organization
Contact information
Practice address
601 FRANKLIN AVE, SUITE 100, GARDEN CITY, NY 11530-5795
(516) 579-0330
(516) 977-9679
Mailing address
601 FRANKLIN AVE, SUITE #100, GARDEN CITY, NY 11530-5795
(516) 579-0330
(516) 977-9679
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
054549
NY
1223G0001X
General Practice Dentistry
046933
NY
1223P0700X
Prosthodontics
Primary
046545
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02338741
—
NY
Enumeration date
09/15/2010
Last updated
01/13/2016
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