Organization
KID SMILES PEDIATRIC DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PEGGY FARD DDS (PEDIATRIC DENTIST/OWNER)
(310) 210-3952
Entity
Organization
Contact information
Practice address
22 MAIN ST, YONKERS, NY 10701-2712
(310) 210-3952
Mailing address
22 MAIN ST, YONKERS, NY 10701-2712
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
052977
NY
Other
Enumeration date
03/22/2010
Last updated
03/22/2010
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