Individual
TASHORN GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1775 GRAND CONCOURSE, 6TH FLOOR, BRONX, NY 10453-8202
(718) 901-8110
Mailing address
1775 GRAND CONCOURSE, 6TH FLOOR, BRONX, NY 10453-8202
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
057213
NY
Other
Enumeration date
02/27/2014
Last updated
05/18/2015
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