Organization
PAPPAS PEDIATRIC DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESPINA PAPPAS DDS (OWNER/PARTNER)
(718) 344-6028
Entity
Organization
Contact information
Practice address
21541 23RD RD, BAYSIDE, NY 11360-2227
(718) 224-0443
Mailing address
21541 23RD RD, BAYSIDE, NY 11360-2227
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1942468897
NEW YORK
—
Enumeration date
02/26/2020
Last updated
02/26/2020
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