Joseph M. Licul, Dds, P.c.
NPI #1457867483 in Southampton, New York
Provider Information
- NPI Number
- 1457867483
- Entity Type
- Organization
- Organization Name
- Joseph M. Licul, Dds, P.c.
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Dec 28, 2017
- Last Updated
- Dec 28, 2017
Practice Location
- Address
- 8 N MAIN ST
- City
- Southampton
- State
- New York
- ZIP Code
- 11968-3308
- Phone
- (631) 283-6591
Authorized Official
- Name
- DR. JOSEPH M LICUL, DDS
- Title
- PRESIDENT
- Phone
- (917) 686-2712
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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