Richard Jonah Firestone, DDS

NPI #1538268032 in Setauket, New York

Provider Information

NPI Number: 1538268032
Entity Type: Individual
Name: Richard Jonah Firestone, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Sep 21, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 100 12 SOUTH JERSEY AVENUE
City: Setauket
State: New York
ZIP Code: 11733
Phone: (631) 751-9565

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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Organizations

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