Organization · Type 2 NPI

Lic Dental Associate

General Practice Dentistry · Long Island City, NY

NPI number 1205210556 Active

About NPI 1205210556

Lic Dental Associate's National Provider Identifier is 1205210556, issued on Jul 16, 2015. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Long Island City, NY. The record was last updated on Jul 16, 2015.