William Joseph Peruso DDS

NPI 1093897969 - Dentist - 122300000X

NPI Details
NPI 1093897969
Gender Male
Enumeration Date 10/20/2006
Last Updated 04/19/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
109 CARLETON AVE
CENTRAL ISLIP NY, 11722, US
Phone (631) 348-2500
Fax (631) 234-4324
Business Location
124 MONTAUK HIGHWAY
WESTHAMPTON NY, 11977, US
Phone (631) 898-0540
Fax (631) 898-0541
Toxanomy
Taxonomy Code 122300000X
License State New York
License Number 040180
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According to our database, Dr. William Joseph Peruso DDS NPI is 1093897969, taxonomy code is 122300000X and license number is 040180, license state is located at New York. William Joseph Peruso DDS physically located at 109 Carleton Ave, Central Islip NY, 11722. NPI Number William Joseph Peruso DDS has the Individual type.

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1093897969 NPI number is provided on an as is basis without warranty of any kind. 1093897969 is maintained by the National Plan & Provider Enumeration System. The contents of William Joseph Peruso DDS are for informational purposes only.