Individual
DR. MARIA LOURDES LLOMPART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3255 83RD ST, EAST ELMHURST, NY 11370-2007
(718) 313-0613
Mailing address
3255 83RD ST, EAST ELMHURST, NY 11370-2007
(718) 313-0613
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
055962
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03588507
—
NY
Enumeration date
06/23/2010
Last updated
03/17/2018
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