Organization
WOOBURY PEDIATRIC DENTISTRY AND ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA RITTER-KAHN DMD (PEDIATRIC DENTIST)
(516) 921-0400
Entity
Organization
Contact information
Practice address
800 WOODBURY RD, SUITE E, WOODBURY, NY 11797-2503
(516) 921-0400
Mailing address
45 SCHOOL LN, LLOYD HARBOR, NY 11743-1039
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
046764
NY
Other
Enumeration date
04/08/2016
Last updated
04/08/2016
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