Pediatric Dentistry of Long Island

NPI #1629469499 in Medford, New York

Provider Information

NPI Number
1629469499
Entity Type
Organization
Organization Name
Pediatric Dentistry of Long Island
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Feb 13, 2015
Last Updated
Feb 13, 2015

Practice Location

Address
1719 N OCEAN AVE STE C
ZIP Code
11763-2669
Phone
(631) 654-4242

Authorized Official

Name
DR. SCOTT LOUIS GOLDSTEIN, DDS
Title
CEO
Phone
(631) 654-4242

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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