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Individual

DR. JOHN EVERETT CANCROFT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
15 CANTERBURY DR, NORTHPORT, NY 11768-1011
(631) 261-1839
Mailing address
15 CANTERBURY DR, NORTHPORT, NY 11768-1011
(631) 261-1839

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
041375-1
NY

Other

Enumeration date
04/06/2007
Last updated
07/08/2007
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