| Nina Laracuente Dmd P.c. | |
|
3255 83rd St Ground Floor East Elmhurst NY 11370-2007 | |
| (718) 313-0613 | |
| (718) 535-7815 |
| Full Name | Nina Laracuente Dmd P.c. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 3255 83rd St, East Elmhurst, New York |
| Authorized Official Name and Position | Nina B Laracuente (PRESIDENT) |
| Authorized Official Contact | 7183130613 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nina Laracuente Dmd P.c. 3255 83rd St Ground Floor East Elmhurst NY 11370-2007 Ph: (718) 313-0613 | Nina Laracuente Dmd P.c. 3255 83rd St Ground Floor East Elmhurst NY 11370-2007 Ph: (718) 313-0613 |
| NPI Number | 1750609574 |
|---|---|
| Provider Enumeration Date | 05/05/2010 |
| Last Update Date | 12/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750609574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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