Kids Dental of Staten Island, PC
NPI #1023292877 in Staten Island, New York
Provider Information
- NPI Number
- 1023292877
- Entity Type
- Organization
- Organization Name
- Kids Dental of Staten Island, PC
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Dec 27, 2007
- Last Updated
- May 15, 2012
Practice Location
- Address
- 1839 N RAILROAD AVE
- City
- Staten Island
- State
- New York
- ZIP Code
- 10306-2020
- Phone
- (718) 667-5437
Authorized Official
- Name
- DR. LISA LAZZARA, DDS
- Title
- DENTIST
- Phone
- (718) 667-5437
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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