Organization · Type 2 NPI
Staten Island Dental Boutique
Dental Clinic/Center · Staten Island, NY
NPI number
1770295255
Active
Practice location
1735 Richmond Ave Fl 2
Staten Island, NY 10314-3907
Mailing address
81 Narrows Rd N Apt D
Staten Island, NY 10305-2818
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1770295255
Staten Island Dental Boutique's National Provider Identifier is 1770295255, issued on Dec 16, 2022. 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 Dec 16, 2022.