| Mill Pond Dental Pc | |
|
11 Irving Pl Woodmere NY 11598-1256 | |
| (516) 791-4000 | |
| Not Available |
| Full Name | Mill Pond Dental Pc |
|---|---|
| Speciality | Dentist |
| Location | 11 Irving Pl, Woodmere, New York |
| Authorized Official Name and Position | Barry Kenneth Rozenberg (OWNER) |
| Authorized Official Contact | 5167914000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mill Pond Dental Pc 1000 Broadway Woodmere NY 11598 Ph: (516) 791-2200 | Mill Pond Dental Pc 11 Irving Pl Woodmere NY 11598-1256 Ph: (516) 791-4000 |
| NPI Number | 1285008771 |
|---|---|
| Provider Enumeration Date | 11/20/2015 |
| Last Update Date | 05/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285008771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 038180 (New York) | Primary |
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