Organization
CLOVE LAKES FAMILY DENTAL PLLC
Active
Other names
Oakwood Dental Arts of Clove Lakes
Organization subpart
No
Provider details
NPI number
Authorized official
EMANUEL GRAZIANO DDS (PARTNER)
(718) 873-4889
Entity
Organization
Contact information
Practice address
1140 VICTORY BLVD, SUITE 1, STATEN ISLAND, NY 10301-3673
(718) 255-8995
Mailing address
1140 VICTORY BLVD, SUITE 1, STATEN ISLAND, NY 10301-3673
(718) 255-8995
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/02/2017
Last updated
03/02/2017
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