Individual
DR. DANIEL MICHAEL VASTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
15 S EMBASSY ST, MONTAUK, NY 11954-5186
(631) 668-5959
(631) 668-0312
Mailing address
PO BOX 5055, MONTAUK, NY 11954-0908
(631) 668-5959
(631) 668-0312
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
029781
NY
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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