Big Little Smiles Pediatric Dentistry PLLC
Dentist, Pediatric Dentistry in Brooklyn, NY. Organization (NPI-2).
NPI number1114635331
StatusActive
Last updated in NPPESNov 7, 2022
Details
- NPI
- 1114635331
- Entity type
- Organization (NPI-2)
- Legal business name
- Big Little Smiles Pediatric Dentistry PLLC
- Organization subpart
- No
- Enumeration date
- Nov 7, 2022
- Certification date
- Nov 7, 2022
- Last updated
- Nov 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | – | – | Yes |
Practice location
2270 Kimball St #202Brooklyn, NY 11234
Phone 516-602-9500
Mailing address
114 2nd StPo Box 101
Connelly, NY 12417
Phone 516-602-9500
Authorized official
Lionel Noel Vera-Caraballo
Pediatric Dentist
5166029500
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