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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