Individual
DANUZA VILELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 S BERGEN PL, FREEPORT, NY 11520-3528
(516) 623-3600
Mailing address
1600 STEWART AVE STE 300, WESTBURY, NY 11590-6611
(516) 396-0187
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
02/08/2022
Last updated
02/08/2022
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