| Mt. Kisco Pediatric Dentistry | |
|
105 S Bedford Rd 315 Mount Kisco NY 10549-3441 | |
| (510) 725-2172 | |
| Not Available |
| Full Name | Mt. Kisco Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 105 S Bedford Rd, Mount Kisco, New York |
| Authorized Official Name and Position | Loan S Mao (DENTIST) |
| Authorized Official Contact | 5107252172 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mt. Kisco Pediatric Dentistry 1416 146th St Whitestone NY 11357-2436 Ph: (510) 725-2172 | Mt. Kisco Pediatric Dentistry 105 S Bedford Rd 315 Mount Kisco NY 10549-3441 Ph: (510) 725-2172 |
| NPI Number | 1568736429 |
|---|---|
| Provider Enumeration Date | 02/23/2012 |
| Last Update Date | 02/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568736429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 054287 (New York) | Primary |
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