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GREAT NECK DENTAL, P.C. — OIG Excluded Provider (GREAT NECK, NY, 1128b4)

GREAT NECK DENTAL, P.C. — OIG Excluded Provider (GREAT NECK, NY, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: GREAT NECK DENTAL, P.C.; Type: Entity; Provider category: DENTAL PRACTICE.

NameGREAT NECK DENTAL, P.C.
TypeEntity
Provider categoryDENTAL PRACTICE
CityGREAT NECK
StateNY
ZIP11021
Exclusion authority1128b4
Exclusion reasonLicense revocation, suspension, or surrender
Exclusion date1994-06-30
SourceHHS-OIG LEIE

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