Organization
CORONA DENTAL OFFICE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WASCAR ALEXI RAMIREZ I D.D.S. (OWNER)
(718) 760-3417
Entity
Organization
Contact information
Practice address
10807 CORONA AVE, 2 FLOOR, CORONA, NY 11368-3941
(718) 760-3417
(718) 760-3417
Mailing address
10807 CORONA AVE, 2 FLOOR, CORONA, NY 11368-3941
(718) 760-3417
(718) 760-3417
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0484861
NY
Other
Enumeration date
10/20/2011
Last updated
10/20/2011
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