Organization
FAMILY PRACTICE DENTISTRY
Active
Other names
Family Practice Dentistry & Laser Dental Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER J HEALY DDS (PARTNER)
(718) 892-7114
Entity
Organization
Contact information
Practice address
1725 EDISON AVE, LOBBY C, BRONX, NY 10461-4850
(718) 892-7114
(718) 892-7494
Mailing address
1725 EDISON AVE, LOBBY C, BRONX, NY 10461-4850
(718) 892-7114
(718) 892-7494
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
008202
CT
Other
Enumeration date
02/28/2007
Last updated
08/12/2008
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