Organization
BALDWIN DENTAL ARTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALICIA F ANDREULA 054033 (PARTNER)
(917) 418-8384
Entity
Organization
Contact information
Practice address
1700 GRAND AVE, NORTH BALDWIN, NY 11510-1801
(516) 379-3204
(516) 379-3209
Mailing address
1700 GRAND AVE, NORTH BALDWIN, NY 11510-1801
(516) 379-3204
(516) 379-3209
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
032402
NY
122300000X
Dentist
Primary
054033
NY
Other
Enumeration date
03/17/2016
Last updated
03/17/2016
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