DR. John Edward Fantasia, D.D.S.
NPI #1730258286 in New Hyde Park, New York
Provider Information
- NPI Number
- 1730258286
- Entity Type
- Individual
- Name
- DR. John Edward Fantasia, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - Oral and Maxillofacial Pathology
- Credential
- D.D.S.
- Enumeration Date
- Nov 7, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 27005 76TH AVE
- Address 2
- LIJMC
- City
- New Hyde Park
- State
- New York
- ZIP Code
- 11040-1433
- Phone
- (718) 470-7116
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Pathology — Oral and Maxillofacial Pathology |
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