Individual
MR. JOHN CHARLES DIMAGGIO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
46 MARCY AVE APT 3, BROOKLYN, NY 11211-4428
(847) 962-3998
Mailing address
46 MARCY AVE APT 3, BROOKLYN, NY 11211-4428
(847) 962-3998
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
059728
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2017
Last updated
10/01/2021
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