Individual
DR. ALAN R KANTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1729 DEER PARK AVE, DEER PARK, NY 11729-5204
(631) 667-2542
(631) 667-2926
Mailing address
1729 DEER PARK AVE, DEER PARK, NY 11729-5204
(631) 667-2542
(631) 667-2926
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
035476
NY
Other
Enumeration date
11/07/2006
Last updated
08/24/2015
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