| Thomas Mortillaro Dds | |
|
9602 4th Ave Brooklyn NY 11209-7851 | |
| (718) 491-3901 | |
| Not Available |
| Full Name | Thomas Mortillaro Dds |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 9602 4th Ave, Brooklyn, New York |
| Authorized Official Name and Position | Thomas Mortillaro (PRESIDENT) |
| Authorized Official Contact | 7184913901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Mortillaro Dds 9602 4th Ave Brooklyn NY 11209-7851 Ph: () - | Thomas Mortillaro Dds 9602 4th Ave Brooklyn NY 11209-7851 Ph: (718) 491-3901 |
| NPI Number | 1861723694 |
|---|---|
| Provider Enumeration Date | 01/18/2010 |
| Last Update Date | 01/18/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861723694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 045148 (New York) | Primary |
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