5B105STRDENTALPC

Dentist · ROCKAWAY PARK, NY

Organization Active NPI 1306052618

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Dentist122300000X046206-1NY

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.