| Dental365 Medford | |
|
1645 Route 112 Ste A Medford NY 11763-3662 | |
| (631) 289-1555 | |
| (516) 344-5748 |
| Full Name | Dental365 Medford |
|---|---|
| Speciality | Dentist |
| Location | 1645 Route 112 Ste A, Medford, New York |
| Authorized Official Name and Position | Hiro Soriano (CHIEF INSURANCE OFFICER) |
| Authorized Official Contact | 5163445746 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental365 Medford 3333 New Hyde Park Rd Ste 414 New Hyde Park NY 11042-1224 Ph: (516) 308-7646 | Dental365 Medford 1645 Route 112 Ste A Medford NY 11763-3662 Ph: (631) 289-1555 |
| NPI Number | 1073014700 |
|---|---|
| Provider Enumeration Date | 02/27/2018 |
| Last Update Date | 12/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073014700 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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