Individual
MILDRED EMBREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
51 W 51ST ST, NEW YORK, NY 10019-6113
(212) 305-3348
Mailing address
51 W 51ST ST, NEW YORK, NY 10019-6113
(212) 305-3348
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
060140-1
NY
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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