Atlantic Ave Dental Care

NPI #1467768762 in Lynbrook, New York

Provider Information

NPI Number: 1467768762
Entity Type: Organization
Organization Name: Atlantic Ave Dental Care
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 24, 2010
Last Updated: Aug 24, 2010

Practice Location

Address: 96 ATLANTIC AVE
City: Lynbrook
State: New York
ZIP Code: 11563-3461
Phone: (516) 792-6952

Authorized Official

Name: DR. ROBERT B SOUFERIAN, DDS
Title: PRESIDENT
Phone: (516) 792-6952

Specialties & Taxonomy Codes

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

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