| Chelsea Pediatric Dentistry Lic | |
|
45-45 21st Street Long Island City NY 11101-5219 | |
| (718) 752-0001 | |
| Not Available |
| Full Name | Chelsea Pediatric Dentistry Lic |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 45-45 21st Street, Long Island City, New York |
| Authorized Official Name and Position | Natasha Larson (PRESIDENT) |
| Authorized Official Contact | 6179138620 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chelsea Pediatric Dentistry Lic 45-45 21st Street Long Island City NY 11101-5219 Ph: (718) 752-0001 | Chelsea Pediatric Dentistry Lic 45-45 21st Street Long Island City NY 11101-5219 Ph: (718) 752-0001 |
| NPI Number | 1306395223 |
|---|---|
| Provider Enumeration Date | 10/04/2016 |
| Last Update Date | 10/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306395223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 055413 (New York) | Primary |
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