Staten Island Dental Boutique
Staten Island Dental Boutique is a Dental Clinic/Center in Staten Island, New York. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
1735 Richmond Ave Fl 2Staten Island, NY 10314-3907
Phone: (347) 596-7719
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X |
|---|
Record details
| NPI number | 1770295255 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Olena Ronan — Owner · (347) 596-7719 |
| NPI enumerated | December 16, 2022 |
| Last updated in NPPES | December 16, 2022 |
| Certification date | December 15, 2022 |
| Mailing address | 81 Narrows Rd N Apt D, Staten Island, NY 10305-2818 |
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