Individual
DEBORAH KIRINCIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23 VILLANOVA LN, DIX HILLS, NY 11746-4842
(631) 827-7405
Mailing address
23 VILLANOVA LN, DIX HILLS, NY 11746-4842
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
016166
NY
Other
Enumeration date
11/22/2016
Last updated
11/22/2016
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