Freeport Dental , PC

NPI #1447422456 in Freeport, New York

Provider Information

NPI Number: 1447422456
Entity Type: Organization
Organization Name: Freeport Dental , PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 31, 2008
Last Updated: Mar 31, 2008

Practice Location

Address: 117 W SUNRISE HWY
City: Freeport
State: New York
ZIP Code: 11520-3614
Phone: (516) 665-8931

Authorized Official

Name: DR. JOSE RAFAEL DE LEON, D.D.S.
Title: PRESIDENT
Phone: (516) 665-8931

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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