Organization
LOAN S. MAO, DDS PC
Active
Other names
Mt. Kisco Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOAN S MAO DDS (DENTIST)
(510) 725-2172
Entity
Organization
Contact information
Practice address
105 S BEDFORD RD, 315, MOUNT KISCO, NY 10549-3441
(510) 725-2172
Mailing address
1416 146TH ST, WHITESTONE, NY 11357-2436
(510) 725-2172
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
054287
NY
Other
Enumeration date
02/23/2012
Last updated
02/23/2012
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