DR. Peter Michael Koblan III, DDS
NPI #1124346887 in East Northport, New York
Provider Information
- NPI Number
- 1124346887
- Entity Type
- Individual
- Name
- DR. Peter Michael Koblan III, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Credential
- DDS
- Enumeration Date
- May 5, 2010
- Last Updated
- May 5, 2010
Practice Location
- Address
- 554 LARKFIELD RD
- Address 2
- SUITE 107
- City
- East Northport
- State
- New York
- ZIP Code
- 11731-4205
- Phone
- (631) 368-2660
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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