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
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 052126 (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.