Gudella S. Licaros, DDS
Gudella S. Licaros, DDS provides Dental Clinic/Center services in New York, New York. Licensed in New York. Registered with an NPI since 2007.
- Licensed in
- NY
- In the registry since
- 2007
Practice location Address checks out
155 W 68th St Ste 226New York, NY 10023-5808 Not confirmed with CMS for 19 years — call before visiting
Phone: (212) 787-2749
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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 · Licence 043676 (NY) |
|---|
Record details
| NPI number | 1376737288 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gudella Licaros — Dentist · (212) 787-2749 |
| NPI enumerated | September 4, 2007 |
| Last updated in NPPES | September 4, 2007 |
| Mailing address | 155 West 68th Street, Suite 226, New York, NY 10023-5808 |
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