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Individual

MRS. FIOR BENENY RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
311 AUDUBON AVE 2F1, NY, NY 10033-4213
(212) 795-3486
(212) 543-3230
Mailing address
311 AUDUBON AVE 2F1, NY, NY 10033-4213
(212) 795-3486
(212) 543-3230

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
048120
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01923922
NY
Enumeration date
01/30/2007
Last updated
07/08/2007
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