Organization
CLINICA DENTAL ACUARO, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FEDERICO A. PEREZ D.D.S. (PRESIDENT/DENTIST)
(212) 781-9535
Entity
Organization
Contact information
Practice address
336 FORT WASHINGTON AVE, SUITE 1B, NEW YORK, NY 10033-6803
(212) 781-9535
(212) 781-8600
Mailing address
336 FORT WASHINGTON AVE, SUITE 1B, NEW YORK, NY 10033-6803
(212) 781-9535
(212) 781-8600
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
047127-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01759200
—
NY
Enumeration date
03/20/2008
Last updated
03/20/2008
Update your record
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