Individual
DR. ANTHONY GENTILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
469 HAWKINS AVE, SUITE 101, LAKE RONKONKOMA, NY 11779-4276
(631) 588-8280
(631) 588-6258
Mailing address
469 HAWKINS AVE, SUITE 101, LAKE RONKONKOMA, NY 11779-4276
(631) 588-8280
(631) 588-6258
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
041757
NY
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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