Individual
DR. GUY DIPIETRO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
37 IVY LEAGUE LN, STONY BROOK, NY 11790-2713
(631) 689-3164
Mailing address
37 IVY LEAGUE LN, STONY BROOK, NY 11790-2713
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
044841
NY
Other
Enumeration date
06/05/2006
Last updated
07/08/2007
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