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Organization
PLAZA DENTAL PC
Active
Organization
PLAZA DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER M PERCIBALLI D.D.S. (PRESIDENT)
(631) 756-1900
Entity
Organization
Contact information
Practice address
234 AIRPORT PLAZA BLVD, SUITE 3, FARMINGDALE, NY 11735-3917
(631) 756-1900
(631) 756-1901
Mailing address
234 AIRPORT PLAZA BLVD, SUITE 3, FARMINGDALE, NY 11735-3917
(631) 756-1900
(631) 756-1901
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
048957
NY
122300000X
Dentist
050095
NY
Other
Enumeration date
06/27/2007
Last updated
08/22/2020
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