Vida Dental Spa
NPI #1588116347 in Whitestone, New York
Provider Information
- NPI Number
- 1588116347
- Entity Type
- Organization
- Organization Name
- Vida Dental Spa
- Primary Specialty
- Dentist
- Enumeration Date
- Oct 27, 2016
- Last Updated
- Oct 27, 2016
Practice Location
- Address
- 1101 154TH ST
- City
- Whitestone
- State
- New York
- ZIP Code
- 11357-1954
- Phone
- (718) 475-6789
Authorized Official
- Name
- MARIA TERESA IOANNOU, DDS
- Title
- DDS
- Phone
- (718) 475-6789
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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