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Organization

LORI A MATTURRO, DDS,PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LORI ANN MATTURRO DDS (OWNER PRESIDENT)
(718) 446-3686
Entity
Organization

Contact information

Practice address
6084 71ST ST, MASPETH, NY 11378-2914
(718) 803-3020
(718) 803-2744
Mailing address
6726 48TH AVE, WOODSIDE, NY 11377-5907
(718) 446-3686

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
048688
NY

Other

Enumeration date
08/22/2013
Last updated
08/22/2013
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