JAVIER A SAMUDIO

FAR ROCKAWAY, NY
NPI1679534895
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: NY  044530)
Enumeration Date2006-03-29
Last Update Date2012-10-02
Business Address
-- JAVIER A SAMUDIO DDS
1847 MOTT AVE FL 2
FAR ROCKAWAY, NY 11691-4201
Phone number: 718-327-7000
Mailing Address
-- JAVIER A SAMUDIO DDS
3571 BUNKER AVE
WANTAGH, NY 11793-3438
Phone number: 516-765-3467