Individual
DR. INGRID BARILLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
476 48TH ST, 3RD FLOOR, BROOKLYN, NY 11220-1954
(718) 439-2822
(718) 439-2821
Mailing address
476 48TH ST, 3RD FLOOR, BROOKLYN, NY 11220-1954
(718) 439-2822
(718) 439-2821
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
046790
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02310727
—
NY
Enumeration date
11/21/2006
Last updated
07/08/2007
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