Individual
DR. EDNA IBAY NAVALTA MAGSOMBOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
37-11 QUEENS BLVD, LONG ISLAND CITY, NY 11101
(718) 361-5155
(718) 361-5156
Mailing address
90-05 187TH PLACE, HOLLIS, NY 11423
(718) 217-7155
(718) 361-5156
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
044382
NY
Other
Enumeration date
05/07/2007
Last updated
11/04/2015
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