DR. Michael Kirshblum

NPI #1063291045 in Deer Park, New York

Provider Information

NPI Number: 1063291045
Entity Type: Individual
Name: DR. Michael Kirshblum
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date: Sep 27, 2023
Last Updated: Sep 27, 2023

Practice Location

Address: 1990 DEER PARK AVE
City: Deer Park
State: New York
ZIP Code: 11729-3303
Phone: (631) 586-7654

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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Organizations

Provider Name	Specialty	City
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