Sunrise Mall Dental PC
NPI #1619022944 in Massapequa, New York
Provider Information
- NPI Number
- 1619022944
- Entity Type
- Organization
- Organization Name
- Sunrise Mall Dental PC
- Primary Specialty
- Dentist
- Enumeration Date
- Jan 25, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 380 SUNRISE MALL
- City
- Massapequa
- State
- New York
- ZIP Code
- 11758
- Phone
- (516) 798-3444
Authorized Official
- Name
- DR. IGOR LEVIN, D.D.S
- Title
- OWNER
- Phone
- (516) 798-3444
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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