Individual
MRS. MARILYN TESSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H
Contact information
Practice address
11 WILBUR ROAD, THIELLS, NY 10984
(845) 947-6206
(845) 947-6209
Mailing address
176 PINEVIEW AVE, BARDONIA, NY 10954-1431
(845) 633-8899
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
016630-1
NY
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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