Individual
DR. GERALD MICHAEL LAGUARDIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
872 MIDDLE COUNTRY RD, SAINT JAMES, NY 11780-3223
(631) 360-1544
(631) 360-1839
Mailing address
416 POND PATH, EAST SETAUKET, NY 11733-1023
(631) 689-5872
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
048499
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02701788
—
NY
Enumeration date
12/08/2006
Last updated
07/08/2007
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