Individual
MRS. NIKITA RODRIGUEZ-LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
150 55TH ST, BROOKLYN, NY 11220-2559
(718) 630-7089
Mailing address
150 55TH ST, BROOKLYN, NY 11220-2559
(718) 630-7089
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
026002
NY
Other
Enumeration date
09/29/2010
Last updated
09/29/2010
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