Individual
DR. DOUGLAS LEONARD MAGGIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1117 166TH ST, WHITESTONE, NY 11357-2801
(718) 746-1865
(718) 746-1998
Mailing address
1117 166TH ST, WHITESTONE, NY 11357-2801
(718) 746-1865
(718) 746-1998
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
040964
NY
Other
Enumeration date
11/06/2008
Last updated
11/06/2008
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