Mt. Kisco Pediatric Dentistry | |
105 S Bedford Rd 315 Mount Kisco NY 10549-3441 | |
(510) 725-2172 | |
Not Available |
Full Name | Mt. Kisco Pediatric Dentistry |
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Speciality | Dentist - Pediatric Dentistry |
Location | 105 S Bedford Rd, Mount Kisco, New York |
Authorized Official Name and Position | Loan S Mao (DENTIST) |
Authorized Official Contact | 5107252172 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mt. Kisco Pediatric Dentistry 1416 146th St Whitestone NY 11357-2436 Ph: (510) 725-2172 | Mt. Kisco Pediatric Dentistry 105 S Bedford Rd 315 Mount Kisco NY 10549-3441 Ph: (510) 725-2172 |
NPI Number | 1568736429 |
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Provider Enumeration Date | 02/23/2012 |
Last Update Date | 02/23/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568736429 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 054287 (New York) | Primary |
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