institution
Gudella S. Licaros, Dds
Dental Clinic/Center in New York, New York
NPI 1376737288

Gudella S. Licaros, Dds is a Dental Clinic/Center based in New York, NY and is specialized in Dental. Gudella S. Licaros, Dds practices in New York, NY. The NPI Number for Gudella S. Licaros, Dds is 1376737288 and holds a License No. 043676 (New York).

The current practice location address for Gudella S. Licaros, Dds is 155 W 68Th St, New York, NY and can be reached out via phone at 212-787-2749. You can also correspond with Gudella S. Licaros, Dds through the mailing address at 155 WEST 68TH STREET, NEW YORK, NY - 10023-5808 (mailing address contact number: 212-787-2749).

Location: 155 W 68Th St, New York, NY, 10023-5808
institution
Provider Profile Details
NPI Number
1376737288
Provider Name
Gudella S. Licaros, Dds
Credential
Provider Entity Type
Organization
Address
155 W 68Th St, New York, NY, 10023-5808
Phone Number
212-787-2749
Fax Number
Provider Enumeration Date
09/04/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
155 W 68Th St
City
State
Zip
10023-5808
Phone Number
212-787-2749
Fax Number
person
Provider Business Mailing Address Details
Address
155 W 68Th St
City
State
Zip
10023-5808
Phone Number
212-787-2749
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
043676 (New York)
Definition
Definition to come...
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