DR. Glen J Pichichero, D.D.S.

NPI #1760755979 in Long Beach, New York

Provider Information

NPI Number
1760755979
Entity Type
Individual
Name
DR. Glen J Pichichero, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
D.D.S.
Enumeration Date
Feb 17, 2012
Last Updated
Feb 17, 2012

Practice Location

Address
224 LONG BEACH BLVD
ZIP Code
11561-4230
Phone
(516) 431-2333

Specialties & Taxonomy Codes

Specialty
Dentist

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