Individual
DR. CLIFFORD EDWARD DEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
32-17 BROADWAY, ASTORIA, NY 11106
(718) 278-1123
(718) 278-6048
Mailing address
12 SUGAR MAPLE COURT, DIX HILLS, NY 11746
(631) 243-6456
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
042417
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01215461
—
NY
Enumeration date
04/26/2007
Last updated
07/08/2007
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