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Individual

DR. MARIE MICHELLE LORMIL MEDOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
3711 QUEENS BLVD, LONG ISLAND CITY, NY 11101-1725
(718) 361-5155
(718) 361-5149
Mailing address
123 BEACH 61ST ST, 2ND FLR, ARVERNE, NY 11692-1855
(347) 834-2857

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
054087
NY

Other

Enumeration date
06/27/2007
Last updated
09/09/2015
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