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Organization
QUISQUEYA DENTAL PC
Active
Organization
QUISQUEYA DENTAL PC
Active
Parent organization
QUISQUEYA DENTAL PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
QUISQUEYA DENTAL PC
Authorized official
MRS. MILADYS A HERNANDEZ DDS (DENTIST)
(718) 847-8807
Entity
Organization
Contact information
Practice address
113-10 JAMAICA AVE, 1 FL, RICHMOND HILL, NY 11418-2440
(718) 847-8807
(718) 847-9464
Mailing address
113-10 JAMAICA AVE, 1 FL, RICHMOND HILL, NY 11418-2440
(718) 847-8807
(718) 847-9464
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
044986
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01439427
—
NY
Enumeration date
05/13/2008
Last updated
05/13/2008
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