Phedryne Robert Dds, Pllc

NPI #1992001093 in Valley Stream, New York

Provider Information

NPI Number: 1992001093
Entity Type: Organization
Organization Name: Phedryne Robert Dds, Pllc
Primary Specialty: Dentist
Enumeration Date: Feb 7, 2011
Last Updated: Feb 7, 2011

Practice Location

Address: 1309 DUTCH BROADWAY
City: Valley Stream
State: New York
ZIP Code: 11580-1534
Phone: (516) 307-1678

Authorized Official

Name: DR. PHEDRYNE ROBERT, DDS
Title: DENTIST
Phone: (516) 307-1678

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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