Individual
FABIOLA MARIE SALGADO REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 E 210TH ST BRONX, NEW YORK, NY 10467-2401
(787) 594-8502
Mailing address
9 W 110TH ST APT 31, NEW YORK, NY 10026-4304
(787) 594-8502
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
06093801
NY
Other
Enumeration date
04/30/2018
Last updated
07/29/2020
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