Individual
GINA A DOLISI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
525 TOWNLINE RD, HAUPPAUGE, NY 11788-2829
(631) 265-3377
Mailing address
14 GLEN COVE RD, ROSLYN HEIGHTS, NY 11577-1732
(516) 626-2060
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
064093
NY
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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