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Individual

MS. ALMA VIVIAN SOSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
69 NAGLE AVE, STE A, NEW YORK, NY 10040
(212) 304-4935
(212) 309-4436
Mailing address
574 WEST 192 ST, # 31, NEW YORK, NY 10040
(212) 781-8688
(212) 304-4936

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
046246
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01603709
NY
Enumeration date
11/30/2006
Last updated
07/08/2007
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