Individual
DR. MARK WILLIAM KNAKAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3400 NESCONSET HWY STE 109, EAST SETAUKET, NY 11733-3327
(631) 751-6700
(631) 751-1124
Mailing address
2 MOSS CREEK LN, EAST PATCHOGUE, NY 11772-6160
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
050160-1
NY
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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