Commack Dental Care Pllc

NPI #1750866257 in Commack, New York

Provider Information

NPI Number: 1750866257
Entity Type: Organization
Organization Name: Commack Dental Care Pllc
Subpart: Yes (part of a larger organization)
Parent Organization: COMMACK DENTAL CARE PLLC
Primary Specialty: Dentist
Enumeration Date: Oct 1, 2018
Last Updated: Oct 26, 2018

Practice Location

Address: 6040 JERICHO TPKE
City: Commack
State: New York
ZIP Code: 11725-2806
Phone: (631) 462-0300

Authorized Official

Name: VICTOR KATSMAN, DDS
Title: OWNER
Phone: (631) 462-0300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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