Organization
KIDS DENTAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA ALLI-LAZZARA DDS (OWNER/PRESIDENT)
(917) 582-5042
Entity
Organization
Contact information
Practice address
739 WOODRAW ROAD, STATEN ISLAND, NY 10312
(718) 356-5437
(718) 356-5433
Mailing address
739 WOODRAW ROAD, STATEN ISLAND, NY 10312
(718) 356-5437
(718) 356-5433
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
046975
NY
Other
Enumeration date
05/16/2012
Last updated
06/20/2022
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