| Kids Dental Of Staten Island, Pc | |
|
1839 N Railroad Ave Staten Island NY 10306-2020 | |
| (718) 667-5437 | |
| Not Available |
| Full Name | Kids Dental Of Staten Island, Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1839 N Railroad Ave, Staten Island, New York |
| Authorized Official Name and Position | Lisa Lazzara (DENTIST) |
| Authorized Official Contact | 7186675437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Dental Of Staten Island, Pc 1839 N Railroad Ave Staten Island NY 10306-2020 Ph: (718) 667-5437 | Kids Dental Of Staten Island, Pc 1839 N Railroad Ave Staten Island NY 10306-2020 Ph: (718) 667-5437 |
| NPI Number | 1023292877 |
|---|---|
| Provider Enumeration Date | 12/27/2007 |
| Last Update Date | 05/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023292877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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