West Babylon Dental
NPI #1124198718 in West Babylon, New York
Provider Information
- NPI Number
- 1124198718
- Entity Type
- Organization
- Organization Name
- West Babylon Dental
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 9, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 393 SUNRISE HWY
- Address 2
- SUITE 1
- City
- West Babylon
- State
- New York
- ZIP Code
- 11704
- Phone
- (631) 669-6067
Authorized Official
- Name
- MR. JOHN TARDERA, DMD
- Title
- DENTIST PARTNER
- Phone
- (631) 664-6067
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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