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Organization
OPEN WIDE DENTAL, PC
Active
Organization
OPEN WIDE DENTAL, PC
Active
Other names
thomas w. riutta, jr, dds
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS WILLIAM RIUTTA JR. D.D.S. (OWNER)
(631) 751-0065
Entity
Organization
Contact information
Practice address
17 QUAKER PATH, STONY BROOK, NY 11790-1307
(631) 751-0065
(631) 751-0103
Mailing address
17 QUAKER PATH, STONY BROOK, NY 11790-1307
(631) 751-0065
(631) 751-0103
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
046699
NY
Other
Enumeration date
05/29/2007
Last updated
08/22/2020
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