Individual
DEANA COOK DICKERSHAID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
820 SUFFOLK AVE, BRENTWOOD, NY 11717-4498
(631) 231-5566
Mailing address
45 ORIOLE WAY, DIX HILLS, NY 11746-4916
(631) 425-2887
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
028124-01
NY
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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