Peter M Baracks DDS

NPI 1265516454 - Dentist - 122300000X

NPI Details
NPI 1265516454
Gender Male
Enumeration Date 10/24/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2148 ROUTE 112
MEDFORD NY, 11763-3646, US
Phone (631) 758-7370
Fax
Business Location
2148 ROUTE 112
MEDFORD NY, 11763-3646, US
Phone (631) 758-7370
Fax
Toxanomy
Taxonomy Code 122300000X
License State New York
License Number 034681
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According to our database, Peter M Baracks DDS NPI is 1265516454, taxonomy code is 122300000X and license number is 034681, license state is located at New York. Peter M Baracks DDS physically located at 2148 Route 112, Medford NY, 11763-3646. NPI Number Peter M Baracks DDS has the Individual type.

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1265516454 NPI number is provided on an as is basis without warranty of any kind. 1265516454 is maintained by the National Plan & Provider Enumeration System. The contents of Peter M Baracks DDS are for informational purposes only.