Organization
WEST END AVE PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT PERACCHIA DDS (OWNER)
(212) 280-7224
Entity
Organization
Contact information
Practice address
440 W END AVE STE 1C, NEW YORK, NY 10024-5358
(212) 280-7224
Mailing address
440 W END AVE STE 1C, NEW YORK, NY 10024-5358
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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