Organization
EAST SETAUKET DENTAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK PANCOTTO DDS (OWNER)
(631) 689-9719
Entity
Organization
Contact information
Practice address
3250 NESCONSET HWY STE 1, EAST SETAUKET, NY 11733-3331
(631) 689-9719
(631) 689-9719
Mailing address
3250 NESCONSET HWY STE 1, EAST SETAUKET, NY 11733-3331
(631) 689-9719
(631) 689-9719
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/11/2021
Last updated
03/11/2021
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