Organization
ADVANCED DENTISTRY OF TARRYTOWN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WANDA MEJIA D.D.S. (OWNER)
(914) 332-4402
Entity
Organization
Contact information
Practice address
42 WILDEY ST, TARRYTOWN, NY 10591-3109
(914) 332-4402
(914) 332-4429
Mailing address
42 WILDEY ST, TARRYTOWN, NY 10591-3109
(914) 332-4402
(914) 332-4429
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
048-450
NY
Other
Enumeration date
01/26/2010
Last updated
01/26/2010
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