JACK MICELI DDS PC
Dentist in Staten Island, NY

License number
New York 39067
Category
Dentist
Type
General Practice
Owner
Name: MR. JACK MICELI DDS
Title: PRESIDENT
Phone: (718) 987-6543
Address
Address
255 Mason Ave., Staten Island, NY 10305
National Provider ID: 1932266566
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JACK MICELI D.D.S., PC

255 Mason Ave, Staten Island, NY 10305

Industry:
Dentists
Doing business as:
Jack Miceli DDS
Registration:
Feb 12, 1992
Phone:
(718) 987-6543 (Phone)
State ID:
1612409
Business type:
Domestic Professional Corporation
S:
Dds Jack Miceli, Marine Dental Services 255 Mason Ave, Staten Island, NY 10305 (Physical),Jack Miceli
Agent:
Marine Dental Services,255 Mason Ave, Staten Island, NY 10305 (Physical)

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