| Facelipsteeth, Inc | |
|
720 Montauk Hwy West Islip NY 11795-4411 | |
| (631) 666-1392 | |
| Not Available |
| Full Name | Facelipsteeth, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 720 Montauk Hwy, West Islip, New York |
| Authorized Official Name and Position | Mike Calderon (DDS) |
| Authorized Official Contact | 6316661392 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Facelipsteeth, Inc 720 Montauk Hwy West Islip NY 11795-4411 Ph: (631) 666-1392 | Facelipsteeth, Inc 720 Montauk Hwy West Islip NY 11795-4411 Ph: (631) 666-1392 |
| NPI Number | 1255091625 |
|---|---|
| Provider Enumeration Date | 12/27/2021 |
| Last Update Date | 01/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255091625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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