Individual
ALAN J. DEMASO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2604 AMBOY RD., STATEN ISLAND, NY 10306-2263
(718) 351-0188
Mailing address
2604 AMBOY ROAD, STATEN ISLAND, NY 10306-2263
(718) 351-0188
(718) 351-2818
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
038774-1
NY
Other
Enumeration date
03/24/2009
Last updated
03/24/2009
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