Chelsea Pediatric Dentistry Lic | |
45-45 21st Street Long Island City NY 11101-5219 | |
(718) 752-0001 | |
Not Available |
Full Name | Chelsea Pediatric Dentistry Lic |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 45-45 21st Street, Long Island City, New York |
Authorized Official Name and Position | Natasha Larson (PRESIDENT) |
Authorized Official Contact | 6179138620 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Chelsea Pediatric Dentistry Lic 45-45 21st Street Long Island City NY 11101-5219 Ph: (718) 752-0001 | Chelsea Pediatric Dentistry Lic 45-45 21st Street Long Island City NY 11101-5219 Ph: (718) 752-0001 |
NPI Number | 1306395223 |
---|---|
Provider Enumeration Date | 10/04/2016 |
Last Update Date | 10/04/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306395223 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 055413 (New York) | Primary |
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