| NPI | 1528209871 |
|---|---|
| Doing Business As | IANNELLO DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | STACY H REISFELD Managing Member 631-724-0104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 041693-1) |
| Enumeration Date | 2009-03-17 |
| Last Update Date | 2009-03-17 |