DIANE MISERCOLA

FORT DRUM, NY
NPI1770932469
Entity TypeIndividual
GenderN/A
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: NY  021568)
Enumeration Date2016-06-03
Last Update Date2016-06-06
Business Address
Ms. DIANE MISERCOLA Dental Hygienist
10590 ENDURING FREEDOM DR
FORT DRUM, NY 13602-5005
Phone number: 315-772-6889
Mailing Address
Ms. DIANE MISERCOLA Dental Hygienist
10590 ENDURING FREEDOM DR
FORT DRUM, NY 13602-5005
Phone number: 315-772-8891
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