Organization
DELBA J. PENA D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DELBA J PENA D.D.S. (PRESIDENT)
(516) 483-8136
Entity
Organization
Contact information
Practice address
186 CLINTON ST, HEMPSTEAD, NY 11550-2600
(516) 483-8136
(516) 483-8134
Mailing address
P.O. BOX 160, UNIONDALE, NY 11553
(516) 483-8136
(516) 483-8134
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
047706-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01900307
—
NY
Enumeration date
03/28/2008
Last updated
03/28/2008
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