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Individual

DR. PETER R KAMPF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
150 BROADHOLLOW RD STE 302, MELVILLE, NY 11747-4901
(631) 315-1400
(516) 677-0064
Mailing address
150 BROADHOLLOW RD STE 302, MELVILLE, NY 11747-4901
(631) 315-1400
(516) 677-0064

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
044122
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
044122
NY

Other

Enumeration date
04/19/2007
Last updated
02/23/2021
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