Individual
CHARLIN HEREDIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
345 E 24TH ST, NEW YORK, NY 10010-4020
(212) 998-1212
Mailing address
2686 OCEAN AVE APT A3, BROOKLYN, NY 11229-4653
(347) 334-9674
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
NY
Other
Enumeration date
06/19/2024
Last updated
06/19/2024
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