Organization
ROOTED PEDIATRIC DENTAL
Active
Other names
Little Roots Pediatric Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA BARZIDEH DMD (OWNER)
(516) 455-3308
Entity
Organization
Contact information
Practice address
265 POST AVE STE 380, WESTBURY, NY 11590-2234
(516) 738-4434
(516) 738-4432
Mailing address
7 WOODCLEFT AVE, PORT WASHINGTON, NY 11050-2736
(516) 455-3308
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
09/26/2024
Last updated
09/26/2024
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