DR. Robert Branca, DDS
NPI #1003805748 in Lake Grove, New York
Provider Information
- NPI Number
- 1003805748
- Entity Type
- Individual
- Name
- DR. Robert Branca, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Oct 16, 2005
- Last Updated
- Apr 2, 2015
Practice Location
- Address
- 112 ALEXANDER AVE
- Address 2
- SUITE A
- City
- Lake Grove
- State
- New York
- ZIP Code
- 11755-0429
- Phone
- (631) 265-6655
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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