Organization
ISLAND SMILE DENTAL GROUP
Active
Parent organization
ISLAND SMILE DENTAL GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
ISLAND SMILE DENTAL GROUP
Authorized official
DR. SULTAN SALEM (D.D.S)
(516) 520-5858
Entity
Organization
Contact information
Practice address
3072 HEMPSTEAD TPKE, LEVITTOWN, NY 11756-1344
(516) 520-5858
(516) 520-6938
Mailing address
3072 HEMPSTEAD TPKE, LEVITTOWN, NY 11756-1344
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
049840
NY
Other
Enumeration date
05/08/2008
Last updated
05/08/2008
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