Organization
LADINO DENTAL PLLC
Active
Other names
103 Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE LADINO DDS (DENTIST)
(917) 854-5645
Entity
Organization
Contact information
Practice address
3756 103RD ST BSMT, CORONA, NY 11368-5163
(917) 854-5645
Mailing address
3756 103RD ST BSMT, CORONA, NY 11368-5163
(917) 854-5645
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/16/2021
Last updated
08/16/2021
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