Mercedes Mota-martinez, Dentist, Pc | |
10401 Roosevelt Ave Corona NY 11368-2327 | |
(718) 779-2214 | |
Not Available |
Full Name | Mercedes Mota-martinez, Dentist, Pc |
---|---|
Speciality | Dentist - General Practice |
Location | 10401 Roosevelt Ave, Corona, New York |
Authorized Official Name and Position | Mercedes Mota-martinez (PRESIDENT) |
Authorized Official Contact | 7187792214 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mercedes Mota-martinez, Dentist, Pc 10401 Roosevelt Ave Corona NY 11368-2327 Ph: (718) 779-2214 | Mercedes Mota-martinez, Dentist, Pc 10401 Roosevelt Ave Corona NY 11368-2327 Ph: (718) 779-2214 |
NPI Number | 1578697066 |
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Provider Enumeration Date | 03/15/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578697066 | NPI | - | NPPES |
01869956 | Medicaid | NY | |
00998187 | Medicaid | NY | |
01268620 | Medicaid | NY |
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