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Organization

LONG ISLAND PEDIATRIC DENTISTRY PLLC

Active
Other names
Long Island Pediatric Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
PAOLA RAMOS (CREDENTIALING COORDINATOR)
(972) 869-3789
Entity
Organization

Contact information

Practice address
31 FROST LN, LAWRENCE, NY 11559-1808
(516) 295-1155
Mailing address
31 FROST LN, LAWRENCE, NY 11559-1808
(516) 295-1155

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Enumeration date
11/16/2021
Last updated
07/02/2024
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