Organization
AUDUBON DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FIOR BENEY RODRIGUEZ DDS (PRESIDENT)
(212) 795-3486
Entity
Organization
Contact information
Practice address
550 W 180TH ST, NEW YORK, NY 10033-5806
(212) 795-3486
(212) 543-3230
Mailing address
550 W 180TH ST, NEW YORK, NY 10033-5806
(212) 795-3486
(212) 543-3230
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01923922
—
NY
Enumeration date
01/30/2007
Last updated
12/13/2012
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