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Individual

DR. VANESZA ROBLES SALAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.P.H., D.M.D.

Contact information

Practice address
3 MEDICAL DR STE D, PORT JEFFERSON STATION, NY 11776-1597
(631) 928-7500
Mailing address
69 MOUNT SINAI AVE, MOUNT SINAI, NY 11766-2312
(631) 347-6333

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
056820
NY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/28/2012
Last updated
11/05/2024
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