Organization
ATLANTIC AVENUE ORTHODONTICS, PLLC
Active
Other names
Atlantic Ave. Braces
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL KUNCIO DDS (PRESIDENT)
(646) 505-8852
Entity
Organization
Contact information
Practice address
2641 ATLANTIC AVE, BROOKLYN, NY 11207-2407
(646) 505-8852
Mailing address
315 W 70TH ST APT 1J, NEW YORK, NY 10023-3529
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
051019
NY
Other
Enumeration date
08/24/2018
Last updated
08/24/2018
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