Organization
WOODHAVEN DENTAL GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL KUNCIO DDS (MEMBER)
(718) 850-5555
Entity
Organization
Contact information
Practice address
8708 WOODHAVEN BLVD, 2ND FLOOR, WOODHAVEN, NY 11421-2284
(718) 850-5555
(718) 805-9000
Mailing address
8708 WOODHAVEN BLVD, 2ND FLOOR, WOODHAVEN, NY 11421-2284
(718) 850-5555
(718) 805-9000
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
051019
NY
124Q00000X
Dental Hygienist
051019
NY
126800000X
Dental Assistant
051019
NY
Other
Enumeration date
09/26/2014
Last updated
07/07/2015
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