JOHN EDWARD FANTASIA

NEW HYDE PARK, NY
NPI1730258286
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223P0106X Dentist, Oral and Maxillofacial Pathology
(Licence: NY  041799-1)
Enumeration Date2006-11-07
Last Update Date2007-07-08
Business Address
Dr. JOHN EDWARD FANTASIA D.D.S.
27005 76TH AVE LIJMC
NEW HYDE PARK, NY 11040-1433
Phone number: 718-470-7116
Mailing Address
Dr. JOHN EDWARD FANTASIA D.D.S.
27005 76TH AVE LIJMC
NEW HYDE PARK, NY 11040-1433
Phone number: 718-470-7116
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