Organization
WOODHAVEN ORTHODONTICS, PLLC
Active
Other names
Woodhaven Braces
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL KUNCIO DDS (PRESIDENT)
(718) 850-5555
Entity
Organization
Contact information
Practice address
8708 WOODHAVEN BLVD, 2ND FLOOR, WOODHAVEN, NY 11421-2159
(718) 850-5555
Mailing address
8708 WOODHAVEN BLVD, 2ND FLOOR, WOODHAVEN, NY 11421-2159
(718) 850-5555
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
051019
NY
Other
Enumeration date
08/16/2010
Last updated
08/16/2010
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