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General Practice Dentistry

NPI: 1578541199Individual

Specialties, Licenses & Credentials

General Practice DentistryPrimary

Dentist — General Practice

Code: 1223G0001X

041855(NY)

Contact & Hours

Address: 41 61 KISSEMA BLVD SUITE 3
FILUSHIGY, NY 11355
Phone: (718) 353-0606

Quick Facts

NPI: 1578541199
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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