Long Island Family Dentistry

NPI #1588962971 in Freeport, New York

Provider Information

NPI Number: 1588962971
Entity Type: Organization
Organization Name: Long Island Family Dentistry
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 8, 2011
Last Updated: Mar 8, 2011

Practice Location

Address: 26 W MERRICK RD
City: Freeport
State: New York
ZIP Code: 11520-3827
Phone: (631) 835-0569

Authorized Official

Name: DR. LARA MIKHAIL
Title: DDS, PROVIDER
Phone: (631) 835-0569

Specialties & Taxonomy Codes

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

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