| NPI | 1245632207 |
|---|---|
| Doing Business As | CORONA PEDIATRIC DENTAL PLAZA |
| Entity Type | Organization |
| Authorized Contact | ALICIA A PITKOUVICH Manager 917-391-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 055939) |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2014-09-22 |