33D2206207 CLIA NUMBER - HUERTA DENTISTRY PC

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Laboratory Demographics

CLIA Number: 33D2206207

Facility Name: HUERTA DENTISTRY PC

Facility Address:
151 WEST 30TH STREET SUITE 602
NEW YORK, NY
ZIP 10001
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Facility Phone Number: 646 649-3116

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1295161164

Taxonomy: 1223G0001X - Dentist
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

CLIA Record

Field Name	Field Value
CLIA Number	33D2206207
LAB Type	Physician Office
Facility Name	HUERTA DENTISTRY PC
Street	151 WEST 30TH STREET SUITE 602
City	NEW YORK
State	NY
ZIP	10001
Phone	646 649-3116
CertificateType	4
CertificateEffectiveDate	12/17/2022
CertificateExpirationDate	12/16/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024