Individual
DR. LUIZ ANDRE PIMENTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS, MBA, PHD
Contact information
Practice address
630 W 168TH ST, NEW YORK, NY 10032-3725
(212) 305-6100
Mailing address
630 WEST 168TH STREET, P&S BOX 20, NEW YORK, NY 10032
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
000130
NY
Other
Enumeration date
10/20/2006
Last updated
10/11/2022
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