Individual
MICHAEL J ARENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
63 WEST SECOND STREET, OSWEGO, NY 13126
(315) 343-5945
(315) 343-5955
Mailing address
63 WEST 2ND ST., OSWEGO, NY 13126
(315) 343-5945
(315) 343-5955
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
042412
NY
122300000X
Dentist
Primary
042412-1
NY
122300000X
Dentist
048717-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01948205
—
NY
Enumeration date
05/24/2007
Last updated
02/19/2019
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