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1194851204
CHARLES A ULLO
STONY BROOK, NY
NPI
1194851204
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0700X Dentist, Prosthodontics
(Licence: NY 031452)
Enumeration Date
2007-02-25
Last Update Date
2007-07-08
Business Address
Dr. CHARLES A ULLO
STONY BROOK COLLEGE
STONY BROOK, NY 11794-0001
Phone number: 631-632-8932
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Mailing Address
Dr. CHARLES A ULLO
60 DYKE RD
SETAUKET, NY 11733-3028
Phone number:
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