Individual
MICHELLE DE LA TORRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2335 BELL BLVD STE LH, BAYSIDE, NY 11360-2032
(718) 468-1900
Mailing address
5404 69TH ST, MASPETH, NY 11378-1805
(929) 259-9940
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
032839
NY
Other
Enumeration date
06/15/2026
Last updated
06/15/2026
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