Individual
VANESSA LUGO HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
232 W 61ST STREET, NEW YORK, NY 10023-7803
(646) 558-6058
(646) 558-6059
Mailing address
2600 NETHERLAND AVE APT 2012, BRONX, NY 10463-4819
(917) 690-8612
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
055551
NY
Other
Enumeration date
07/25/2011
Last updated
10/17/2012
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