EDLY DESTINE

MOUNT VERNON, NY
NPI1326387341
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NY  057473)
Enumeration Date2013-02-11
Last Update Date2018-11-09
Business Address
Dr. EDLY DESTINE DDS
88 W LINCOLN AVE STE 102
MOUNT VERNON, NY 10550-1181
Phone number: 146-996-9889
Mailing Address
Dr. EDLY DESTINE DDS
88 W LINCOLN AVE STE 102
MOUNT VERNON, NY 10550-1181
Phone number: 914-699-6988
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