Individual
DR. LIONEL NOEL VERA-CARABALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
37 TRIANGLE RD, LIBERTY, NY 12754-3371
(845) 292-3900
Mailing address
37 TRIANGLE RD, LIBERTY, NY 12754-3371
(596) 602-9500
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
058924
NY
1223P0221X
Pediatric Dentistry
12424
CT
Other
Enumeration date
05/08/2014
Last updated
05/22/2022
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