Steven Scott Canarick D.M.D.,F.A.G.D.

NPI 1194049015 - Dentist - 122300000X

NPI Details
NPI 1194049015
Gender Male
Enumeration Date 03/22/2010
Last Updated 03/22/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
99 GRAND AVE
SUITE 3
MASSAPEQUA NY, 11758-4908, US
Phone (516) 798-6503
Fax (516) 798-6509
Business Location
99 GRAND AVE
SUITE 3
MASSAPEQUA NY, 11758-4908, US
Phone (516) 798-6503
Fax (516) 798-6509
Toxanomy
Taxonomy Code 122300000X
License State New York
License Number 033857-1
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According to our database, Dr. Steven Scott Canarick D.M.D.,F.A.G.D. NPI is 1194049015, taxonomy code is 122300000X and license number is 033857-1, license state is located at New York. Steven Scott Canarick D.M.D.,F.A.G.D. physically located at 99 Grand Ave, Massapequa NY, 11758-4908. NPI Number Steven Scott Canarick D.M.D.,F.A.G.D. has the Individual type.

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1194049015 NPI number is provided on an as is basis without warranty of any kind. 1194049015 is maintained by the National Plan & Provider Enumeration System. The contents of Steven Scott Canarick D.M.D.,F.A.G.D. are for informational purposes only.