Organization
EAST MAIN STREET DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAHADEO RAMBARRAN DDS (PRESIDENT/DENTIST)
(631) 581-2288
Entity
Organization
Contact information
Practice address
268 E MAIN ST, EAST ISLIP, NY 11730
(631) 581-2288
(631) 581-2670
Mailing address
268 E MAIN ST, EAST ISLIP, NY 11730
(631) 581-2288
(631) 581-2670
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/03/2019
Last updated
06/03/2019
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