| NPI | 1326704081 |
|---|---|
| Doing Business As | LONG ISLAND PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | PAOLA RAMOS Credentialing Coordinator 972-869-3789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2021-11-16 |
| Last Update Date | 2024-07-02 |