DR. Amy Beth Tannenbaum, D.D.S.

NPI #1447490917 in Deer Park, New York

Provider Information

NPI Number: 1447490917
Entity Type: Individual
Name: DR. Amy Beth Tannenbaum, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Feb 24, 2009
Last Updated: Feb 24, 2009

Practice Location

Address: 1644 DEER PARK AVE.
Address 2: PARK HILLS DENTAL CENTER
City: Deer Park
State: New York
ZIP Code: 11729
Phone: (631) 586-7100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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