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Organization
STATEN ISLAND SMILE DENTAL PLLC
Active
Organization
STATEN ISLAND SMILE DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROCCO DIANTONIO DDS (MANAGING MEMBER)
(718) 948-4000
Entity
Organization
Contact information
Practice address
621 KATAN AVE, STATEN ISLAND, NY 10312-3422
(718) 948-4000
(718) 948-4001
Mailing address
621 KATAN AVE, STATEN ISLAND, NY 10312-3422
(718) 948-4000
(718) 948-4001
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0555071
NY
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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