Individual
MARYANN DANOSOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3905 61ST ST, KIDS DENTAL VILLAGE PC, WOODSIDE, NY 11377-3566
(215) 456-7104
Mailing address
3905 61ST ST, KIDS DENTAL VILLAGE PC, WOODSIDE, NY 11377-3566
(718) 388-5566
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
057593
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/19/2013
Last updated
01/07/2016
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