Organization · Type 2 NPI

Upper Ditmars Dental PLLC

Dental Clinic/Center · East Elmhurst, NY

NPI number 1437695764 Active

Practice location

2128 80th St
East Elmhurst, NY 11370-1323

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000X052126 (NY)

Dental Clinic/Center: Definition to come...

About NPI 1437695764

Upper Ditmars Dental PLLC's National Provider Identifier is 1437695764, issued on Jan 10, 2017. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in East Elmhurst, NY. The record was last updated on Jan 10, 2017.