Robert Branca DDS

NPI 1003805748 - Dentist - 1223G0001X

NPI Details
NPI 1003805748
Gender Male
Enumeration Date 10/16/2005
Last Updated 04/02/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
112 ALEXANDER AVE
SUITE A
LAKE GROVE NY, 11755-0429, US
Phone (631) 265-6655
Fax (631) 265-9735
Business Location
112 ALEXANDER AVE
SUITE A
LAKE GROVE NY, 11755-0429, US
Phone (631) 265-6655
Fax (631) 265-9735
Toxanomy
Taxonomy Code 1223G0001X
License State New York
License Number 040425
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According to our database, Dr. Robert Branca DDS NPI is 1003805748, taxonomy code is 1223G0001X and license number is 040425, license state is located at New York. Robert Branca DDS physically located at 112 Alexander Ave, Lake Grove NY, 11755-0429. NPI Number Robert Branca DDS has the Individual type.

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1003805748 NPI number is provided on an as is basis without warranty of any kind. 1003805748 is maintained by the National Plan & Provider Enumeration System. The contents of Robert Branca DDS are for informational purposes only.