Organization
NINA LARACUENTE DMD P.C.
Active
Other names
Braces World Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NINA B LARACUENTE DMD (PRESIDENT)
(718) 313-0613
Entity
Organization
Contact information
Practice address
3255 83RD ST, GROUND FLOOR, EAST ELMHURST, NY 11370-2007
(718) 313-0613
(718) 535-7815
Mailing address
3255 83RD ST, GROUND FLOOR, EAST ELMHURST, NY 11370-2007
(718) 313-0613
(718) 535-7815
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
05/05/2010
Last updated
12/04/2010
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