Individual
MS. DIANE LAURA MUNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
1228 WANTAGH AVE, SUITE 102, WANTAGH, NY 11793-2209
(516) 679-7978
Mailing address
271 N SUFFOLK AVE, NORTH MASSAPEQUA, NY 11758-3222
(516) 795-1027
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
022088
NY
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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