Organization
NYACK PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELA BOUDOUNIS-HATZIS D.D.S. (CFO)
(845) 812-8434
Entity
Organization
Contact information
Practice address
265 NORTH HIGHLAND AVE, SUITE 101, NYACK, NY 10960
(845) 512-8434
(845) 512-8435
Mailing address
265 NORTH HIGHLAND AVE, SUITE 101, NYACK, NY 10960
(845) 512-8434
(845) 512-8435
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
051032
NY
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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