Individual
DR. DOMINICK MARK CONGIUSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
530 BAY RIDGE PKWY, BROOKLYN, NY 11209-3310
(718) 836-2228
Mailing address
530 BAY RIDGE PKWY, BROOKLYN, NY 11209-3310
(718) 836-2228
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0384741
NY
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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