DR. James R Mongiello, DDS
NPI #1003839556 in Kings Park, New York
Provider Information
- NPI Number
- 1003839556
- Entity Type
- Individual
- Name
- DR. James R Mongiello, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Jul 25, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 55 INDIAN HEAD RD
- City
- Kings Park
- State
- New York
- ZIP Code
- 11754-3704
- Phone
- (631) 269-4242
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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