GUDELLA S. LICAROS, DDS is a dental clinic center in New York, NY. GUDELLA S. LICAROS, DDS NPI is 1376737288. The provider is registered as an organization entity type.
The provider's business location address is:
155 W 68TH ST
SUITE 226
NEW YORK, NY
ZIP 10023-808
Phone: (212) 787-2749
The provider's authorized official is Gudella San Juan Licaros .
The authorized official title is Dentist and has the following contact phone number (212) 787-2749.
The enumeration date for this NPI number is 9/4/2007 and was last updated on 9/4/2007.