Individual
SOCORRO AMAGO BENEDICTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4017 149TH PL, FLUSHING, NY 11354-4942
(718) 939-4027
(718) 939-4121
Mailing address
4017 149TH PL, FLUSHING, NY 11354-4942
(718) 939-4027
(718) 939-4121
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
32503
NY
Other
Enumeration date
07/11/2005
Last updated
07/08/2007
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