Officina Dental of Betty Rondon

NPI #1003077918 in New York, New York

Provider Information

NPI Number: 1003077918
Entity Type: Organization
Organization Name: Officina Dental of Betty Rondon
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Jun 23, 2008
Last Updated: Jun 23, 2008

Practice Location

Address: 39 SICKLES ST # 1G
City: New York
State: New York
ZIP Code: 10040-1615
Phone: (212) 304-7986

Authorized Official

Name: BETTY M RONDON, DDS
Title: MANAGER
Phone: (212) 304-7986

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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