Stephen Michael Licata, D.D.S.

NPI #1184832537 in North Bellmore, New York

Provider Information

NPI Number
1184832537
Entity Type
Individual
Name
Stephen Michael Licata, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
D.D.S.
Enumeration Date
May 18, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
2212 STACEY CT
ZIP Code
11710-1844
Phone
(516) 679-8100

Specialties & Taxonomy Codes

Specialty
Dentist

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