Individual
DOMENICK F D'ANGELICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1425 EAST GUN HILL ROAD, BRONX, NY 10469
(718) 671-0480
Mailing address
1425 EAST GUN HILL ROAD, BRONX, NY 10469
(718) 671-0480
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
23148
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01005141
—
NY
Enumeration date
10/16/2006
Last updated
07/08/2007
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