Organization
YANDRESCO QUINTANA DDS PC
Active
Other names
New Heights Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
YANDRESCO QUINTANA M.D. D.D.S. (PRESSIDENT)
(212) 927-0565
Entity
Organization
Contact information
Practice address
651 W 180TH ST, SUITE 1, NEW YORK, NY 10033-4802
(212) 927-0565
Mailing address
245 E 93RD ST APT 21A, SUITE 1, NEW YORK, NY 10128-3960
(212) 927-0565
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
057383
NY
Other
Enumeration date
01/11/2017
Last updated
01/11/2017
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