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Individual

CARMEN JULIA TIRADO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
172-15 93RD AVENUE, JAMAICA, NY 11433-1210
(718) 715-9979
Mailing address
172-15 93RD AVENUE, JAMAICA, NY 11433-1210
(718) 715-9979

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
025694
NY

Other

Enumeration date
09/01/2016
Last updated
09/01/2016
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