Staten Island Pediatric Dentistry
NPI #1053509687 in Staten Island, New York
Provider Information
- NPI Number
- 1053509687
- Entity Type
- Organization
- Organization Name
- Staten Island Pediatric Dentistry
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Oct 9, 2007
- Last Updated
- Oct 9, 2007
Practice Location
- Address
- 195 BRIDGETOWN ST
- City
- Staten Island
- State
- New York
- ZIP Code
- 10314-6006
- Phone
- (718) 761-7316
Authorized Official
- Name
- DR. DEBORAH ANNE GRIES, D.M.D.
- Title
- PRESIDENT
- Phone
- (718) 761-7316
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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