Organization
LITTLE T KIDS DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARTER LE DDS (OWNER)
(303) 725-7845
Entity
Organization
Contact information
Practice address
8610 ROOSEVELT AVE STE 31, JACKSON HEIGHTS, NY 11372-7511
(303) 725-7845
Mailing address
8610 ROOSEVELT AVE STE 31, JACKSON HEIGHTS, NY 11372-7511
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04838822
—
NY
Enumeration date
07/13/2019
Last updated
07/13/2019
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