Individual
DR. MARIO JOSEPH CAPUANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
260 MIDDLE COUNTRY RD, BLDG 2 SUITE 12, SELDEN, NY 11784-2568
(631) 696-9752
(631) 696-5096
Mailing address
260 MIDDLE COUNTRY RD, BUILDING 2, SUITE 12, SELDEN, NY 11784-2568
(631) 696-9752
(631) 696-5096
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
045939
NY
Other
Enumeration date
07/22/2005
Last updated
11/11/2009
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