Organization
WHITESTONE PERIODONTICS AND DENTAL IMPLANTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA DALESSANDRO (MANAGER)
(718) 423-4500
Entity
Organization
Contact information
Practice address
16032 20TH AVE, WHITESTONE, NY 11357-3905
(718) 423-4500
(718) 423-4268
Mailing address
16032 20TH AVE, WHITESTONE, NY 11357-3905
(718) 423-4500
(718) 423-5268
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
043648
NY
Other
Enumeration date
01/29/2014
Last updated
01/29/2014
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