2791 RICHMOND LLC
Organization (NPI-2)
Active
Dentist, General Practice
Provider Information
- NPI Number
1003391186- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 2791 RICHMOND AVENUE, SUITE 2, STATEN ISLAND, NY, 10314
- Phone
- (718) 400-9002
Specialties & Taxonomies
Dentist, General Practice
Primary