Individual
DR. LARISSA DAVIDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
9841 QUEENS BLVD, #1A, REGO PARK, NY 11374-4361
(718) 275-2006
Mailing address
9841 QUEENS BLVD, #1A, REGO PARK, NY 11374-4361
(718) 275-2006
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
048329
NY
Other
Enumeration date
01/23/2007
Last updated
08/05/2008
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