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Organization
QUISQUEYA DENTAL
Active
Organization
QUISQUEYA DENTAL
Active
Parent organization
QUISQUEYA DENTAL PC
Other names
QUISQUEYA DENTAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
QUISQUEYA DENTAL PC
Authorized official
DR. MANUEL A HERNANDEZ DDS (DENTIST)
(718) 847-8807
Entity
Organization
Contact information
Practice address
11310 JAMAICA AVE, RICHMOND HILL, NY 11418-2440
(718) 847-8807
(718) 847-9464
Mailing address
11310 JAMAICA AVE, RICHMOND HILL, NY 11418-2440
(718) 847-8807
(718) 847-9464
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
051596-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02579899
—
NY
Enumeration date
09/19/2007
Last updated
10/07/2008
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