Individual
DR. MARESSA ANN MISTRETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
101 SOUTH DRIVE, STONY BROOK, NY 11794-0001
(631) 632-8989
Mailing address
101 SOUTH DRIVE, STONY BROOK, NY 11794-0001
(631) 632-8989
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DDS-09448
IA
1223G0001X
General Practice Dentistry
33712
TX
1223P0221X
Pediatric Dentistry
Primary
33712
TX
Other
Enumeration date
06/27/2017
Last updated
02/28/2024
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