JONATHAN MICHAEL PANICHELLA

NORTHPORT, NY
NPI1932238334
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: NY  045759)
Enumeration Date2007-03-04
Last Update Date2007-07-08
Business Address
Dr. JONATHAN MICHAEL PANICHELLA D.D.S.,M.S.
239 MAIN ST
NORTHPORT, NY 11768-1730
Phone number: 631-754-1745
Mailing Address
Dr. JONATHAN MICHAEL PANICHELLA D.D.S.,M.S.
66 LOCUST LN
NORTHPORT, NY 11768-1149
Phone number: 631-754-1745
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