Individual
DR. DILMARYS PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
116 BROADWAY, MALVERNE, NY 11565-1635
(516) 599-0883
Mailing address
116 BROADWAY, MALVERNE, NY 11565-1635
(516) 599-0883
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
058116
NY
Other
Enumeration date
08/07/2015
Last updated
02/26/2016
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