| Periodontal & Implant Surgery Associates | |
|
393 Franklin Ave Suite 103 Franklin Square NY 11010-1222 | |
| (516) 354-5228 | |
| (516) 354-8006 |
| Full Name | Periodontal & Implant Surgery Associates |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 393 Franklin Ave, Franklin Square, New York |
| Authorized Official Name and Position | Anthony Ienna (OWNER) |
| Authorized Official Contact | 5163545228 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Periodontal & Implant Surgery Associates 393 Franklin Ave Suite 103 Franklin Square NY 11010-1222 Ph: (516) 354-5228 | Periodontal & Implant Surgery Associates 393 Franklin Ave Suite 103 Franklin Square NY 11010-1222 Ph: (516) 354-5228 |
| NPI Number | 1275622086 |
|---|---|
| Provider Enumeration Date | 10/11/2006 |
| Last Update Date | 08/11/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275622086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 040277 (New York) | Primary |
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