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Individual

LUCY MARIA TRONCOSO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
211 N GANNON AVE, STATEN ISLAND, NY 10314-4307
(718) 761-2217
Mailing address
211 N GANNON AVE, STATEN ISLAND, NY 10314-4307
(718) 761-2217

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
046392
NY

Other

Enumeration date
05/13/2010
Last updated
05/13/2010
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