PETER J DETOLLA

LEVITTOWN, NY
NPI1932100161
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NY  047832-1)
Enumeration Date2005-08-10
Last Update Date2007-07-08
Business Address
Dr. PETER J DETOLLA DDS
58 CHURCH RD
LEVITTOWN, NY 11756-2232
Phone number: 516-735-1234
Mailing Address
Dr. PETER J DETOLLA DDS
105 LAUREL AVE
NORTHPORT, NY 11768-3169
Phone number: 631-757-5075
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