Individual
DR. JOSE LUIS LADINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3553 82ND ST, SUITE 1E, JACKSON HEIGHTS, NY 11372-5162
(718) 476-4176
Mailing address
679 48TH ST, APT 4K, BROOKLYN, NY 11220-2153
(917) 499-3449
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
056206
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03486519
—
NY
Enumeration date
08/01/2012
Last updated
10/09/2012
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