Individual
MARY BUDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(347) 647-0658
Mailing address
8383 118TH ST APT 6H, KEW GARDENS, NY 11415-2437
(347) 647-0658
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
063347
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2022
Last updated
02/22/2024
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