Organization
ATLANTIC AVENUE ORTHODONTICS, PLLC
Active
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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