Individual
DESIREE LARACUENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
3209 82ND ST STE 1, EAST ELMHURST, NY 11370-2003
(718) 898-0600
(718) 898-0700
Mailing address
3209 82ND ST APT 1, EAST ELMHURST, NY 11370-2003
(718) 898-0600
(718) 898-0700
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
053544
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02901348
—
NY
Enumeration date
09/20/2006
Last updated
02/16/2026
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