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Eyal Waldman Dmd PC

Dentist in Patchogue, NY. Organization (NPI-2).

NPI number1295980993
StatusActive
Last updated in NPPESNov 21, 2008

Details

NPI
1295980993
Entity type
Organization (NPI-2)
Legal business name
Eyal Waldman Dmd PC
Organization subpart
No
Enumeration date
Nov 21, 2008
Last updated
Nov 21, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist044126NYYes

Practice location

168 N Ocean Ave
Patchogue, NY 11772-2021

Phone 631-289-7179 · Fax 631-289-0203

Mailing address

168 N Ocean Ave
Patchogue, NY 11772-2021

Phone 631-289-7179 · Fax 631-289-0203

Authorized official

Eyal Dov Waldman
Owner
6312897179

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