Individual
DR. EDLEY BOBO-MESILAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
754 E 151ST ST, BRONX, NY 10455-3267
(718) 402-2800
(718) 993-4395
Mailing address
107 DANZIG PL, VALLEY STREAM, NY 11580-4813
(516) 285-6161
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
049420-1
NY
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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