Clinica Dental Latina

NPI #1902177843 in Corona, New York

Provider Information

NPI Number: 1902177843
Entity Type: Organization
Organization Name: Clinica Dental Latina
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 24, 2012
Last Updated: Jan 24, 2012

Practice Location

Address: 9605 40TH RD
City: Corona
State: New York
ZIP Code: 11368-2138
Phone: (718) 651-7070

Authorized Official

Name: JULIO ISIDOR
Title: OFFICE MANAGER
Phone: (718) 651-7070

Specialties & Taxonomy Codes

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

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