Individual
MISS KENDRA MARIE IRIZARRY PAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
200 W 57TH ST STE 804, NEW YORK, NY 10019-3266
(646) 895-9680
(646) 895-9679
Mailing address
108 E 96TH ST APT 18B, NEW YORK, NY 10128-6222
(917) 705-2383
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
057502-01
NY
Other
Enumeration date
04/16/2013
Last updated
11/12/2025
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