Organization
JOHN GENTILE DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN GENTILE (DOCTOR)
(631) 269-6206
Entity
Organization
Contact information
Practice address
7 MERIDIAN AVENUE, KINGS PARK, NY 11754
(631) 269-6206
Mailing address
7 MERIDIAN AVE, KINGS PARK, NY 11754-2609
(631) 269-6206
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
048572-1
NY
Other
Enumeration date
05/04/2015
Last updated
05/04/2015
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