Individual
KALTRA NACO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
225 BROADWAY, NEW YORK, NY 10007-3001
(212) 300-4020
Mailing address
760 BROADWAY, BROOKLYN, NY 11206-5317
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
059797
NY
Other
Enumeration date
04/11/2016
Last updated
02/07/2020
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