| Jessica N Madrid Dentistry P.c. | |
|
4 Whittier St Lynbrook NY 11563-1018 | |
| (516) 754-0430 | |
| Not Available |
| Full Name | Jessica N Madrid Dentistry P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4 Whittier St, Lynbrook, New York |
| Authorized Official Name and Position | Jessica N Madrid (DOCTOR/PRESIDENT) |
| Authorized Official Contact | 5167540430 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica N Madrid Dentistry P.c. 4 Whittier St Lynbrook NY 11563-1018 Ph: (516) 754-0430 | Jessica N Madrid Dentistry P.c. 4 Whittier St Lynbrook NY 11563-1018 Ph: (516) 754-0430 |
| NPI Number | 1114595352 |
|---|---|
| Provider Enumeration Date | 06/15/2021 |
| Last Update Date | 06/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114595352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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