Robert C Defeo, D.D.S.

NPI #1548552789 in Massapequa, New York

Provider Information

NPI Number: 1548552789
Entity Type: Individual
Name: Robert C Defeo, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: May 6, 2011
Last Updated: May 6, 2011

Practice Location

Address: 5454 MERRICK RD
City: Massapequa
State: New York
ZIP Code: 11758-6213
Phone: (516) 798-3300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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