Organization
GARY D. KITZIS, DMD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY D KITZIS DMD (OWNER)
(516) 692-7766
Entity
Organization
Contact information
Practice address
156 PLAINVIEW RD., WOODBURY, NY 11797-2807
(516) 692-7766
(631) 692-6129
Mailing address
156 PLAINVIEW RD., WOODBURY, NY 11797-2807
(516) 692-7766
(631) 692-6129
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
036994-1
NY
Other
Enumeration date
02/05/2009
Last updated
02/05/2009
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