Individual
JOSEPH CUCOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1301 PUNCHBOWL STREET, QUEENS MEDICAL CENTER- DENTAL CLINIC, HONOLULU, HI 96813
(631) 790-5506
Mailing address
18 ST. GEORGE DR., SHIRLEY, NY 11967
(631) 790-5506
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DT-2702
HI
Other
Enumeration date
05/12/2017
Last updated
01/29/2020
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