Individual
JOHN WRANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
785 W MONTAUK HWY, WEST BABYLON, NY 11704-8219
(631) 587-7373
Mailing address
32 LEROY ST APT 3, NEW YORK, NY 10014-3914
(917) 843-9735
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
059822
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2017
Last updated
03/02/2023
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