East Main Street Dental PC
NPI #1962060137 in East Islip, New York
Provider Information
- NPI Number
- 1962060137
- Entity Type
- Organization
- Organization Name
- East Main Street Dental PC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jun 3, 2019
- Last Updated
- Jun 3, 2019
Practice Location
- Address
- 268 E MAIN ST
- City
- East Islip
- State
- New York
- ZIP Code
- 11730
- Phone
- (631) 581-2288
Authorized Official
- Name
- MR. MAHADEO RAMBARRAN, DDS
- Title
- PRESIDENT/DENTIST
- Phone
- (631) 581-2288
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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