Organization
IVAN EDUARDO TERRERO, DENTIST P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN EDUARDO TERRERO D.D.S. (PRESIDENT)
(212) 249-2431
Entity
Organization
Contact information
Practice address
1372 1ST AVE, NEW YORK, NY 10021-3810
(212) 249-2431
Mailing address
1372 1ST AVE, NEW YORK, NY 10021-3810
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
043274
NY
Other
Enumeration date
06/01/2007
Last updated
08/22/2020
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