Organization
DENTISTRY UNLIMITED OF ST. JAMES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD MICHAEL LAGUARDIA DMD (MEMBER)
(631) 360-1544
Entity
Organization
Contact information
Practice address
872 MIDDLE COUNTRY RD STE 4, SAINT JAMES, NY 11780-3223
(631) 360-1544
(631) 360-1839
Mailing address
872 MIDDLE COUNTRY RD STE 4, SAINT JAMES, NY 11780-3223
(631) 360-1544
(631) 360-1839
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
048499
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02701788
—
NY
Enumeration date
03/13/2015
Last updated
03/13/2015
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