Individual
LAURA DECARLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
122 E 23RD ST, NEW YORK, NY 10010-4516
(212) 677-7400
Mailing address
462 15TH ST, APT 1L, BROOKLYN, NY 11215-5769
(718) 499-0517
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
014422-1
NY
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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