LIBANESA SEPULVEDA

BRONX, NY
NPI1215280425
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: NY  0246411)
Enumeration Date2012-10-25
Last Update Date2012-10-25
Business Address
-- LIBANESA SEPULVEDA
1515 SOUTHERN BLVD
BRONX, NY 10460-5980
Phone number: 718-589-3400
Mailing Address
-- LIBANESA SEPULVEDA
1775 CLAY AVE APT 6B
BRONX, NY 10457-7207
Phone number: