Individual
DR. ANTHONY IENNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
393 FRANKLIN AVE, STE 103, FRANKLIN SQUARE, NY 11010-1222
(516) 354-5228
Mailing address
122 NASSAU BLVD, GARDEN CITY, NY 11530-2619
(516) 741-6423
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
040277-1
NY
Other
Enumeration date
03/31/2007
Last updated
07/08/2007
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