Individual
DR. NINA BEATRIZ LARACUENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
3255 83RD ST, GROUND FLOOR, EAST ELMHURST, NY 11370-2007
(718) 313-0613
(718) 535-7815
Mailing address
3255 83RD ST, GROUND FLOOR, EAST ELMHURST, NY 11370-2007
(718) 313-0613
(718) 535-7815
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
050779
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
050779
NY
Other
Enumeration date
11/13/2007
Last updated
09/11/2012
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