DONALD DODGE

PORT JEFFERSON STATION, NY
NPI1245362243
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NY  039774-1)
Enumeration Date2007-03-12
Last Update Date2007-07-08
Business Address
-- DONALD DODGE
492 OLD TOWN RD
PORT JEFFERSON STATION, NY 11776-2249
Phone number: 631-928-1018
Mailing Address
-- DONALD DODGE
14 BUNNY LN
EAST SETAUKET, NY 11733-3504
Phone number:
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