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Organization

LIDA C. BAQUERO-BARRENECHE DDS, PLLC

Active
Other names
Lida Dental
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LIDA C BAQUERO-BARRENECHE DDS (OWNER)
(718) 357-5545
Entity
Organization

Contact information

Practice address
4207 UTOPIA PKWY, FLUSHING, NY 11358-2735
(718) 357-5545
(718) 357-5545
Mailing address
17128 COURTNEY AVE, FLUSHING, NY 11358-3812
(718) 357-7845

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
12/31/2019
Last updated
12/31/2019
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