Organization
LOUIS S PROFERA DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS S PROFERA (OWNER)
(631) 324-5662
Entity
Organization
Contact information
Practice address
65 MONTAUK HWY, SUITE E, EAST HAMPTON, NY 11937-3285
(631) 324-5662
Mailing address
65 MONTAUK HWY, SUITE E, EAST HAMPTON, NY 11937-3285
(631) 324-5662
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/10/2017
Last updated
01/10/2017
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