Corona Pediatric Dental Plaza - Dental Clinic in Corona, NY

Corona Pediatric Dental Plaza is a dental clinic (Dentist) in Corona, New York. The current practice location for Corona Pediatric Dental Plaza is 10308 Roosevelt Ave, 2nd Floor, Corona, New York. For appointments, you can reach them via phone at (718) 397-7000. The mailing address for Corona Pediatric Dental Plaza is 10308 Roosevelt Ave, 2nd Floor, Corona, New York and phone number is (718) 397-7000.

Corona Pediatric Dental Plaza is licensed to practice in New York (license number 055939) and its NPI number is 1245632207. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (718) 397-7000.

Contact Information

Corona Pediatric Dental Plaza
10308 Roosevelt Ave
2nd Floor
Corona
NY 11368-2330
(718) 397-7000
Not Available

Dental Care Clinic Profile

Full NameCorona Pediatric Dental Plaza
SpecialityDentist
Location10308 Roosevelt Ave, Corona, New York
Authorized Official Name and PositionAlicia A Pitkouvich (MANAGER)
Authorized Official Contact9173918000
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Corona Pediatric Dental Plaza
10308 Roosevelt Ave
2nd Floor
Corona
NY 11368-2330

Ph: (718) 397-7000
Corona Pediatric Dental Plaza
10308 Roosevelt Ave
2nd Floor
Corona
NY 11368-2330

Ph: (718) 397-7000

NPI Details:

NPI Number1245632207
Provider Enumeration Date09/22/2014
Last Update Date09/22/2014

Medical Identifiers

Medical identifiers for Corona Pediatric Dental Plaza such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245632207NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 055939 (New York)Primary

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