Madison Dental Management Associates LLC

NPI #1356876460 in Bay Shore, New York

Provider Information

NPI Number
1356876460
Entity Type
Organization
Organization Name
Madison Dental Management Associates LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Apr 26, 2017
Last Updated
Apr 26, 2017

Practice Location

Address
1579 BRENTWOOD RD
ZIP Code
11706-3225
Phone
(631) 665-8484

Authorized Official

Name
DR. EUGENE LOUIS ANTENUCCI, DDS
Title
PRESIDENT
Phone
(631) 665-8484

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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