Individual
ERIC C MAGALONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
122 HARDING AVE, HICKSVILLE, NY 11801-3122
(516) 945-4012
Mailing address
122 HARDING AVENUE, HICKSVILLE, NY 11801
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
059979
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/15/2017
Last updated
03/01/2019
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