Wyckoff Dental PC

NPI #1861463366 in Ridgewood, New York

Provider Information

NPI Number: 1861463366
Entity Type: Organization
Organization Name: Wyckoff Dental PC
Primary Specialty: Dentist
Enumeration Date: Feb 1, 2006
Last Updated: Dec 28, 2012

Practice Location

Address: 321 WYCKOFF AVENUE
City: Ridgewood
State: New York
ZIP Code: 11385
Phone: (718) 386-3288

Authorized Official

Name: MS. RUFINA LOUIS, DDS
Title: PRESIDENT
Phone: (718) 386-3288

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X
Dentist	122300000X	Primary

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