Organization
ACHURY & PUERTA DENTAL SERVICES PLLC
Active
Other names
Vanguard Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIVA PUERTA DDS (MEMBER-MANAGER)
(516) 739-4990
Entity
Organization
Contact information
Practice address
601 FRANKLIN AVE STE 100, GARDEN CITY, NY 11530-5760
(516) 739-4990
(516) 396-2212
Mailing address
601 FRANKLIN AVE STE 100, GARDEN CITY, NY 11530-5760
(516) 739-4990
(516) 396-2212
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NY
Other
Enumeration date
10/31/2017
Last updated
10/31/2017
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