Individual
DR. JOHN PHILIP INCAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
69 COUNTRY VILLAGE LANE, MANHASSET HILLS, NY 11040
(516) 352-1045
Mailing address
69 COUNTRY VILLAGE LANE, MANHASSET HILLS, NY 11040
(516) 352-1045
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
023030
NY
Other
Enumeration date
09/01/2006
Last updated
07/08/2007
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