Organization
GREAT BEGINNINGS PEDIATRIC DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA LAURA YBARRA DDS (OWNER)
(818) 462-7848
Entity
Organization
Contact information
Practice address
127 WINSLOW ST, WATERTOWN, NY 13601-4389
(818) 462-7848
Mailing address
PO BOX 49, WATERTOWN, NY 13601-0049
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
055925
NY
Other
Enumeration date
12/04/2015
Last updated
12/04/2015
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