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1730258286
JOHN EDWARD FANTASIA
NEW HYDE PARK, NY
NPI
1730258286
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0106X Dentist, Oral and Maxillofacial Pathology
(Licence: NY 041799-1)
Enumeration Date
2006-11-07
Last Update Date
2007-07-08
Business Address
Dr. JOHN EDWARD FANTASIA D.D.S.
27005 76TH AVE LIJMC
NEW HYDE PARK, NY 11040-1433
Phone number: 718-470-7116
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Mailing Address
Dr. JOHN EDWARD FANTASIA D.D.S.
27005 76TH AVE LIJMC
NEW HYDE PARK, NY 11040-1433
Phone number: 718-470-7116
Copy
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