Organization
BIG LITTLE SMILES PEDIATRIC DENTISTRY PLLC
Active
Other names
Big Little Smiles Pediatric Dentistry PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LIONEL NOEL VERA-CARABALLO DMD (PEDIATRIC DENTIST - OFFICE MANAGER)
(516) 602-9500
Entity
Organization
Contact information
Practice address
95 MORGAN ST APT 1A, STAMFORD, CT 06905-5411
(516) 602-9500
Mailing address
2315 ASTORIA BLVD APT 5E, ASTORIA, NY 11102-4461
(516) 602-9500
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
07/28/2020
Last updated
07/28/2020
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