DR. Joseph M Licul, D.D.S.
NPI #1376702720 in Middle Village, New York
Provider Information
- NPI Number
- 1376702720
- Entity Type
- Individual
- Name
- DR. Joseph M Licul, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Jun 2, 2008
- Last Updated
- Jun 2, 2008
Practice Location
- Address
- 8427 PENELOPE AVE
- City
- Middle Village
- State
- New York
- ZIP Code
- 11379-2443
- Phone
- (718) 424-5336
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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