| A-gold Coast Family Dental | |
|
2 Cow Neck Rd Port Washington NY 11050-1712 | |
| (516) 883-8810 | |
| Not Available |
| Full Name | A-gold Coast Family Dental |
|---|---|
| Speciality | Dentist |
| Location | 2 Cow Neck Rd, Port Washington, New York |
| Authorized Official Name and Position | Doron Keren (PRESIDENT) |
| Authorized Official Contact | 5168838810 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A-gold Coast Family Dental 2 Cow Neck Rd Port Washington NY 11050-1712 Ph: (516) 883-8810 | A-gold Coast Family Dental 2 Cow Neck Rd Port Washington NY 11050-1712 Ph: (516) 883-8810 |
| NPI Number | 1174705768 |
|---|---|
| Provider Enumeration Date | 12/05/2007 |
| Last Update Date | 12/05/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174705768 | NPI | - | NPPES |
| 02241743 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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