Organization
MAURO V. DIBENEDETTO DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAURO V DIBENEDETTO DMD (DENTIST)
(631) 288-3223
Entity
Organization
Contact information
Practice address
380 MILL RD, WESTHAMPTON BEACH, NY 11978-2063
(631) 288-3223
Mailing address
PO BOX 143, WESTHAMPTON, NY 11977-0143
(631) 288-3223
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
043792
NY
Other
Enumeration date
11/30/2016
Last updated
11/30/2016
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