Individual
MS. ANA PAULA MATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
439 PORT RICHMOND AVE, STATEN ISLAND, NY 10302-1714
(917) 830-0838
(718) 816-9507
Mailing address
439 PORT RICHMOND AVE, STATEN ISLAND, NY 10302-1714
(917) 830-0838
(718) 816-9507
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
019459-1
NY
Other
Enumeration date
10/06/2016
Last updated
10/06/2016
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