| Praise The Lord Dental,p.c. | |
|
122 La Salle St New York NY 10027-4625 | |
| (212) 866-1313 | |
| (212) 866-2061 |
| Full Name | Praise The Lord Dental,p.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 122 La Salle St, New York, New York |
| Authorized Official Name and Position | Jacinto Alonzo Martinez (OWNER) |
| Authorized Official Contact | 2128661313 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Praise The Lord Dental,p.c. 122 La Salle St New York NY 10027-4625 Ph: (212) 866-1313 | Praise The Lord Dental,p.c. 122 La Salle St New York NY 10027-4625 Ph: (212) 866-1313 |
| NPI Number | 1841314010 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841314010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 046959 (New York) | Primary |
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