Individual
DR. MICHAEL JOHN CAPOGNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1023 N BROADWAY, MASSAPEQUA, NY 11758-2118
(516) 448-6814
Mailing address
1023 N BROADWAY, MASSAPEQUA, NY 11758-2118
(516) 448-6814
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
059117
NY
Other
Enumeration date
06/29/2017
Last updated
07/21/2022
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