Individual
ANA SUAREZ-TIBURCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
22 MT PLEASANT RD, YONKERS, NY 10703
(646) 284-3384
Mailing address
22 MOUNT PLEASANT RD, YONKERS, NY 10703-2104
(646) 284-3384
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
057612
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2013
Last updated
10/13/2014
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