PETER M BARACKS

MEDFORD, NY
NPI1265516454
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: NY  034681)
Enumeration Date2006-10-24
Last Update Date2007-07-08
Business Address
-- PETER M BARACKS dds
2148 ROUTE 112
MEDFORD, NY 11763-3646
Phone number: 631-758-7370
Mailing Address
-- PETER M BARACKS dds
2148 ROUTE 112
MEDFORD, NY 11763-3646
Phone number: 631-758-7370