Pm Dental Services PC

NPI #1831361054 in Deer Park, New York

Provider Information

NPI Number: 1831361054
Entity Type: Organization
Organization Name: Pm Dental Services PC
Primary Specialty: Dentist
Enumeration Date: Mar 27, 2008
Last Updated: Mar 27, 2008

Practice Location

Address: 207 BAYSHORE RD
City: Deer Park
State: New York
ZIP Code: 11729-6930
Phone: (631) 748-6136

Authorized Official

Name: PAUL HENNIS
Title: DENTIST
Phone: (718) 723-4878

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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