Individual
DR. LAURA R. CANNISTRACI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
344 MAIN ST., SUITE 404, MT. KISCO, NY 10549
(914) 666-0084
Mailing address
344 MAIN ST., SUITE 404, MT. KISCO, NY 10549
(914) 666-0084
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
039863-1
NY
Other
Enumeration date
11/14/2007
Last updated
11/14/2007
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