Dr. Cecelia Acosta-Lake, DDS
Dentist in Bronx, NY. Individual provider (NPI-1).
NPI number1760484331
StatusActive
Last updated in NPPESMar 7, 2023
Details
- NPI
- 1760484331
- Entity type
- Individual (NPI-1)
- Name
- Dr. Cecelia Acosta-Lake
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 12, 2005
- Last updated
- Mar 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 051325 | NY | Yes |
Practice location
1894 Walton AveBronx, NY 10453-6018
Phone 718-583-3060
Mailing address
1894 Walton AveBronx, NY 10453-6018
Phone 718-583-3060
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