Individual
DR. GEORGE N. SKEVOFILAX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
469 HAWKINS AVE, LAKE RONKONKOMA, NY 11779-4276
(631) 588-8280
Mailing address
469 HAWKINS AVE, LAKE RONKONKOMA, NY 11779-4276
(631) 588-8280
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
054022
NY
Other
Enumeration date
05/06/2009
Last updated
01/14/2010
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