Organization
GORDON J DIEHL DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GORDON JOSEF DIEHL DMD (PRESIDENT)
(631) 689-1548
Entity
Organization
Contact information
Practice address
176 GNARLED HOLLOW ROAD, EAST SETAUKET, NY 11733
(631) 689-1548
(631) 689-1516
Mailing address
176 GNARLED HOLLOW RD, EAST SETAUKET, NY 11733
(631) 689-1548
(631) 689-1516
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
040755
NY
Other
Enumeration date
12/21/2006
Last updated
06/27/2012
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