Individual
MARYANN VLAHOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2194 WHITE PLAINS RD, BRONX, NY 10462-1406
(929) 388-4488
Mailing address
2194 WHITE PLAINS RD, BRONX, NY 10462-1406
(929) 388-4488
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
059168
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/16/2016
Last updated
06/25/2020
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