Individual
DR. CARLOS ALBERTO MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
453 MOTHER GASTON BLVD, BROOKLYN, NY 11212-7617
(718) 342-3266
(718) 342-3298
Mailing address
1213 AVENUE Z, APT.C-15, BROOKLYN, NY 11235-4359
(718) 743-9430
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
045401
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01514878
—
NY
Enumeration date
12/01/2006
Last updated
07/08/2007
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