Organization
TINY TEETH PEDIATRIC DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTONIA ROSE MAURO DDS (OWNER)
(516) 350-4502
Entity
Organization
Contact information
Practice address
297 MINEOLA BLVD, MINEOLA, NY 11501-1502
(516) 272-4450
(516) 272-4942
Mailing address
59 TITUS AVE, CARLE PLACE, NY 11514-1312
(516) 350-4502
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
12/18/2024
Last updated
08/02/2025
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