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Organization
SANTA LOCASCIO DDS PC
Active
Organization
SANTA LOCASCIO DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANTA LOCASCIO DDS (AUTHORIZED OFFICIAL)
(718) 628-6588
Entity
Organization
Contact information
Practice address
7016 FRESH POND RD, RIDGEWOOD, NY 11385-5902
(718) 628-6588
(718) 628-9579
Mailing address
70-16 FRESH POND RD, RIDGEWOOD, NY 11414
(718) 628-6588
(718) 628-9579
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01197731
—
NY
Enumeration date
01/24/2006
Last updated
04/11/2017
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