Periodontal & Implant Surgery Associates
NPI #1275622086 in Franklin Square, New York
Provider Information
- NPI Number
- 1275622086
- Entity Type
- Organization
- Organization Name
- Periodontal & Implant Surgery Associates
- Primary Specialty
- Dentist - Periodontics
- Enumeration Date
- Oct 11, 2006
- Last Updated
- Aug 11, 2014
Practice Location
- Address
- 393 FRANKLIN AVE
- Address 2
- SUITE 103
- City
- Franklin Square
- State
- New York
- ZIP Code
- 11010-1222
- Phone
- (516) 354-5228
Authorized Official
- Name
- DR. ANTHONY IENNA, DDS
- Title
- OWNER
- Phone
- (516) 354-5228
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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