Individual
DR. ANTHONY VINCENT MARESCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS,ABO
Contact information
Practice address
207 HALLOCK RD, STONY BROOK, NY 11790-3033
(631) 689-5100
(631) 689-5110
Mailing address
207 HALLOCK RD, STONY BROOK, NY 11790-3033
(631) 689-5100
(631) 689-5110
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
024560
NY
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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