Individual
NANCY DUCLONAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS RDH
Contact information
Practice address
460 W 34TH ST, NEW YORK, NY 10001-2320
(212) 273-6515
Mailing address
460 W 34TH ST, NEW YORK, NY 10001-2320
(212) 273-6515
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
025733
NY
Other
Enumeration date
10/21/2009
Last updated
10/10/2011
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