Peter M Baracks, DDS

NPI #1265516454 in Medford, New York

Provider Information

NPI Number: 1265516454
Entity Type: Individual
Name: Peter M Baracks, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Oct 24, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2148 ROUTE 112
City: Medford
State: New York
ZIP Code: 11763-3646
Phone: (631) 758-7370

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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