Individual
DR. DARA ALEXIS PFEFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
135-14 JEWEL AVE, FLUSHING, NY 11367
(718) 997-6453
Mailing address
8 POND PARK ROAD, GREAT NECK, NY 11023
(516) 972-2765
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
055540
NY
1223P0221X
Pediatric Dentistry
055540
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/04/2009
Last updated
05/01/2020
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