Eastern Island Dental Care Pllc

NPI #1316541303 in Lindenhurst, New York

Provider Information

NPI Number: 1316541303
Entity Type: Organization
Organization Name: Eastern Island Dental Care Pllc
Primary Specialty: Dentist
Enumeration Date: Nov 30, 2020
Last Updated: Nov 30, 2020

Practice Location

Address: 195 N WELLWOOD AVE
City: Lindenhurst
State: New York
ZIP Code: 11757-4005
Phone: (631) 226-0146

Authorized Official

Name: LISA SANDMAN
Title: DIR OF OPERATIONS
Phone: (631) 413-2912

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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