| Park Dental Llp | |
|
1035 Park Blvd Ste 1a Massapequa Park NY 11762 | |
| (516) 798-9184 | |
| (516) 795-8612 |
| Full Name | Park Dental Llp |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1035 Park Blvd Ste 1a, Massapequa Park, New York |
| Authorized Official Name and Position | Richard Cassaro (OWNER) |
| Authorized Official Contact | 5167989184 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Dental Llp 1035 Park Blvd Ste 1a Massapequa Park NY 11762 Ph: (516) 798-9184 | Park Dental Llp 1035 Park Blvd Ste 1a Massapequa Park NY 11762 Ph: (516) 798-9184 |
| NPI Number | 1972655512 |
|---|---|
| Provider Enumeration Date | 01/16/2007 |
| Last Update Date | 09/21/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972655512 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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