Individual
DR. TANYA SOMOHANO-MARQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1102 WESTCHESTER HL, STONY BROOK, NY 11794-8712
(631) 632-8825
Mailing address
1102 WESTCHESTER HL, STONY BROOK, NY 11794-8712
(631) 632-8825
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
054786
NY
1223P0700X
Prosthodontics
Primary
054786
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/22/2008
Last updated
06/13/2019
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