Organization
CHELSEA PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOREN BUONOCORE DMD (PRESIDENT)
(914) 960-0486
Entity
Organization
Contact information
Practice address
220 W 26TH ST, NEW YORK, NY 10001-6753
(212) 243-5437
Mailing address
220 W 26TH ST, NEW YORK, NY 10001-6753
(212) 243-5437
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
050738
NY
Other
Enumeration date
09/20/2016
Last updated
09/20/2016
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