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Individual

DR. ALBANI ROCIO TIRADO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
47 N. COUNTRY RD., SHOREHAM, NY 11786
(631) 744-0111
(631) 744-0321
Mailing address
P.O. BOX 849, 47 N. COUNTRY RD.,, SHOREHAM, NY 11786
(631) 744-0111
(631) 744-0321

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
044665-1
NY

Other

Enumeration date
07/30/2013
Last updated
07/30/2013
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