Organization
JESSICA N MADRID DENTISTRY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA N MADRID DDS (DOCTOR/PRESIDENT)
(516) 754-0430
Entity
Organization
Contact information
Practice address
4 WHITTIER ST, LYNBROOK, NY 11563-1018
(516) 754-0430
Mailing address
4 WHITTIER ST, LYNBROOK, NY 11563-1018
(516) 754-0430
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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