Organization
DOMENICK F. D'ANGELICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMENICK F D'ANGELICA DDS (OWNER)
(718) 671-0480
Entity
Organization
Contact information
Practice address
1425 E GUN HILL RD, BRONX, NY 10469-3066
(718) 671-0480
Mailing address
1425 E GUN HILL RD, BRONX, NY 10469-3066
(718) 671-0480
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
23148
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01005141
—
NY
Enumeration date
09/03/2008
Last updated
09/03/2008
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