| 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 |
|---|---|
| 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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