Organization
DC DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAMARIS A CORDERO DDS (OWNER/PRESIDENT)
(212) 923-5568
Entity
Organization
Contact information
Practice address
454 FORT WASHINGTON AVE, SUITE 5, NEW YORK, NY 10033-4650
(212) 923-5568
(212) 923-5568
Mailing address
454 FORT WASHINGTON AVE, SUITE 5, NEW YORK, NY 10033-4650
(212) 923-5568
(212) 923-5568
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
045810-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0016322
DORAL
NY
05
—
01544421
—
NY
Enumeration date
04/08/2008
Last updated
04/08/2008
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