Organization
COMIZIO DENTISTRY PLLC
Active
Organization
COMIZIO DENTISTRY PLLC
Active
Other names
Comizio Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
VICENTA REYES (CREDENTIALING SENIOR TEAM LEAD)
(972) 869-3789
Entity
Organization
Contact information
Practice address
173 FISHER AVE, EASTCHESTER, NY 10709-2605
(914) 779-1444
Mailing address
173 FISHER AVE, EASTCHESTER, NY 10709-2605
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
10/24/2022
Last updated
10/24/2022
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