| Pediatric Dental World, Pc | |
|
3209 82nd St East Elmhurst NY 11370-2003 | |
| (718) 478-2825 | |
| (718) 478-2831 |
| Full Name | Pediatric Dental World, Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3209 82nd St, East Elmhurst, New York |
| Authorized Official Name and Position | Desiree Laracuente (OWNER) |
| Authorized Official Contact | 7184782825 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dental World, Pc 3209 82nd St East Elmhurst NY 11370-2003 Ph: (718) 478-2825 | Pediatric Dental World, Pc 3209 82nd St East Elmhurst NY 11370-2003 Ph: (718) 478-2825 |
| NPI Number | 1629366703 |
|---|---|
| Provider Enumeration Date | 07/11/2011 |
| Last Update Date | 03/06/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629366703 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 053544 (New York) | Primary |
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