Individual
MR. JOSEPH CARMINE MARTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
714 MAIN ST, PORT JEFFERSON, NY 11777-2223
(631) 473-0582
(631) 473-3525
Mailing address
714 MAIN ST, PORT JEFFERSON, NY 11777-2223
(631) 473-0582
(631) 473-3525
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
044812
NY
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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