Organization
ROSSARIN MITSUMOTO D.D.S., P.C.
Active
Other names
Port Chester Kid Smiles, Tappan Zee Kid Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSSARIN MITSUMOTO DDS (OWNER)
(914) 332-1272
Entity
Organization
Contact information
Practice address
245 N BROADWAY STE 108, SLEEPY HOLLOW, NY 10591-2657
(914) 332-1272
(914) 332-1261
Mailing address
245 N BROADWAY STE 108, SLEEPY HOLLOW, NY 10591-2657
(914) 332-1272
(914) 332-1261
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
06/21/2017
Last updated
06/16/2018
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