Roosevelt Dental Care III P.c.

NPI #1437327616 in Corona, New York

Provider Information

NPI Number
1437327616
Entity Type
Organization
Organization Name
Roosevelt Dental Care III P.c.
Primary Specialty
Dentist - General Practice
Enumeration Date
Feb 11, 2008
Last Updated
Feb 11, 2008

Practice Location

Address
10324 ROOSEVELT AVE
Address 2
SUITE 200
City
Corona
ZIP Code
11368-2330
Phone
(718) 205-7709

Authorized Official

Name
EDWIN OSTIAGO, D.D.S.
Title
OWNER
Phone
(718) 205-7709

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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