| Lida C. Baquero-barreneche Dds, Pllc | |
|
4207 Utopia Pkwy Flushing NY 11358-2735 | |
| (718) 357-5545 | |
| (718) 357-5545 |
| Full Name | Lida C. Baquero-barreneche Dds, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4207 Utopia Pkwy, Flushing, New York |
| Authorized Official Name and Position | Lida C Baquero-barreneche (OWNER) |
| Authorized Official Contact | 7183575545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lida C. Baquero-barreneche Dds, Pllc 17128 Courtney Ave Flushing NY 11358-3812 Ph: (718) 357-7845 | Lida C. Baquero-barreneche Dds, Pllc 4207 Utopia Pkwy Flushing NY 11358-2735 Ph: (718) 357-5545 |
| NPI Number | 1821637497 |
|---|---|
| Provider Enumeration Date | 12/31/2019 |
| Last Update Date | 12/31/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821637497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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