DR. Jeanine Marie Pistilli, D.D.S.

NPI #1629250675 in Nesconset, New York

Provider Information

NPI Number
1629250675
Entity Type
Individual
Name
DR. Jeanine Marie Pistilli, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Pediatric Dentistry
Credential
D.D.S.
Enumeration Date
Dec 1, 2007
Last Updated
Mar 23, 2011

Practice Location

Address
62 LAKE AVE S
Address 2
SUITE A
ZIP Code
11767-1047
Phone
(631) 360-7337

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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