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Desiree Laracuente, DMD
Pediatric Dentist in Brooklyn, New York
NPI 1922106517

Desiree Laracuente is a Pediatric Dentist based in Astoria, NY and is specialized in Pediatric Dentistry. Desiree Laracuente practices in Brooklyn, NY and has the professional credentials of DMD. The NPI Number for Desiree Laracuente is 1922106517 and holds a License No. (New York).

The current practice location address for Desiree Laracuente is 150 55Th St, Brooklyn, NY and can be reached out via phone at 718-630-7000.

Location: 150 55Th St, Brooklyn, NY, 11106-5103
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922106517
Provider Name
Desiree Laracuente
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
150 55Th St, Brooklyn, NY, 11106-5103
Phone Number
718-630-7000
Fax Number
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02901348 05 NY
institution
Provider Business Practice Location Address Details
Address
150 55Th St
City
Brooklyn
State
New York
Zip
11220-2559
Phone Number
718-630-7000
Fax Number
person
Provider Business Mailing Address Details
Address
150 55Th St
City
Brooklyn
State
New York
Zip
11220-2559
Phone Number
718-630-7000
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
053544 (New York)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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