Organization · Type 2 NPI
Clove Lakes Family Dental PLLC
Dental Clinic/Center · Staten Island, NY
NPI number
1639619208
Active
Practice location
1140 Victory Blvd, Suite 1
Staten Island, NY 10301-3673
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1639619208
Clove Lakes Family Dental PLLC's National Provider Identifier is 1639619208, issued on Mar 2, 2017. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Staten Island, NY. The record was last updated on Mar 2, 2017.