Individual
MRS. HANETTE SABINA GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
9605 40TH ROAD, CORONA, NY 11368
(718) 651-7070
(718) 651-6559
Mailing address
9605 40TH ROAD, CORONA, NY 11368
(718) 651-7070
(718) 651-6559
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
043863
NY
Other
Enumeration date
10/17/2006
Last updated
10/27/2011
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