Organization
WADING RIVER PEDIATRIC DENTISTRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY CAMPISI DDS (PRESIDENT)
(516) 524-6756
Entity
Organization
Contact information
Practice address
6336 ROUTE 25A, WADING RIVER, NY 11792-2030
(516) 524-6756
Mailing address
6336 ROUTE 25A, WADING RIVER, NY 11792-2030
(516) 524-6756
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
02/24/2020
Last updated
02/24/2020
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