DR. Juan Jose Pesantes, D.D.S.

NPI #1225208101 in Corona, New York

Provider Information

NPI Number: 1225208101
Entity Type: Individual
Name: DR. Juan Jose Pesantes, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Mar 6, 2008
Last Updated: Feb 1, 2016

Practice Location

Address: 4104 102ND ST
Address 2: 2ND FLOOR
City: Corona
State: New York
ZIP Code: 11368-2480
Phone: (718) 651-3939

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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