Organization
PERRY M. IACOVETTI DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PERRY M. IACOVETTI D.D.S. (PRESIDENT)
(718) 224-0040
Entity
Organization
Contact information
Practice address
5231 LITTLE NECK PKWY, LITTLE NECK, NY 11362-1836
(718) 224-0040
Mailing address
5231 LITTLE NECK PKWY, LITTLE NECK, NY 11362-1836
(718) 224-0040
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
050882
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02768981
—
NY
Enumeration date
08/27/2008
Last updated
08/27/2008
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