Individual
CECILIA NICOLE LAROCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
205-07 HILLSIDE AVE., HOLLIS, NY 11423
(718) 766-0600
Mailing address
105-43 DITMARS BLVD., EAST ELMHURST, NY 11369
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
050781-1
NY
Other
Enumeration date
06/19/2007
Last updated
07/08/2007
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