Laura Wysocki

NPI #1073053880 in Bronx, New York

Provider Information

NPI Number
1073053880
Entity Type
Individual
Name
Laura Wysocki
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - Pediatric Dentistry
Enumeration Date
Feb 27, 2017
Last Updated
Sep 17, 2020

Practice Location

Address
111 E 210TH ST
City
Bronx
ZIP Code
10467-2401
Phone
(718) 920-4321

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program
Dentist - Pediatric DentistryPediatric Dentistry

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