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Organization
LALABA DENTAL PC
Active
Organization
LALABA DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MITA SHARAD PATEL D.D.S (PRESIDENT)
(516) 365-3701
Entity
Organization
Contact information
Practice address
679 E 138TH ST, BRONX, NY 10454-3307
(718) 665-6065
(718) 665-6065
Mailing address
2 WOODLAND CT, ROSLYN, NY 11576-1432
(516) 365-3701
(516) 365-3701
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/27/2010
Last updated
05/27/2010
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