Individual provider · NPI-1

Dr. Ela Acuesta-Laureta

Dentist, General Practice · Bronx, NY

NPI number1437294543
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1437294543
Entity type
Individual (NPI-1)
Name
Dr. Ela Acuesta-Laureta
Sex
Female
Sole proprietor
No
Enumeration date
Feb 20, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice052914NYYes

Practice location

7 Hugh Grant Circle Suite 3
Bronx, NY 10462

Phone 718-792-5959 · Fax 718-792-0401

Mailing address

6440 58th Rd
Maspeth, NY 11378-2806

Phone 718-792-0137 · Fax 718-792-0401

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