Dr. Mark Christopher Angiolillo, dds
Dentist in Clintondale, NY. Individual provider (NPI-1).
NPI number1023213618
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1023213618
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mark Christopher Angiolillo
- Credential
- dds
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 15, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 052882 | NY | Yes |
Practice location
4 Applewood CtClintondale, NY 12515-5100
Phone 845-883-8732
Mailing address
4 Applewood CourtClintondale, NY 12515
Phone 845-883-8732
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