Organization Name: | TRU-DENTAL, P.C. |
NPI Number: | 1497926141 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KARINA INTRIAGO GONZALEZ (CHIEF OF OPERATIONS) |
Mailing Address: | 288 Main St Beacon |
State: | NY US |
Postal Code: | 125083015 |
Phone Number: | 8458380086 |
Fax Number: | 8458381278 |
NPI Enumeration Date: | 03/20/2008 |
NPI Last Update Date: | 06/27/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy 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. |