| Brentwood & Bay Shore Dental Assocciates Llp | |
|
27 Wicks Rd Brentwood NY 11717-4213 | |
| (631) 231-9314 | |
| (631) 952-1243 |
| Full Name | Brentwood & Bay Shore Dental Assocciates Llp |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 27 Wicks Rd, Brentwood, New York |
| Authorized Official Name and Position | Sheldon Gary Milo (OWNER) |
| Authorized Official Contact | 6312319314 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brentwood & Bay Shore Dental Assocciates Llp 27 Wicks Rd Brentwood NY 11717-4213 Ph: (631) 231-9314 | Brentwood & Bay Shore Dental Assocciates Llp 27 Wicks Rd Brentwood NY 11717-4213 Ph: (631) 231-9314 |
| NPI Number | 1134538333 |
|---|---|
| Provider Enumeration Date | 08/13/2014 |
| Last Update Date | 08/13/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134538333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 039610 (New York) | Primary |
| 1223G0001X | Dentist - General Practice | 045455 (New York) | Secondary |
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