Individual
MARTHA C PEDRAZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8709 34TH AVE APT 5E, JACKSON HEIGHTS, NY 11372-3334
(718) 350-6693
Mailing address
8709 34TH AVE APT 5E, JACKSON HEIGHTS, NY 11372-3334
(718) 350-6693
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
02605-1
NY
Other
Enumeration date
07/01/2022
Last updated
07/01/2022
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