Dina Fara
Dental Hygienist in Freeport, NY. Individual provider (NPI-1).
NPI number1457065633
StatusActive
Last updated in NPPESJan 11, 2023
Details
- NPI
- 1457065633
- Entity type
- Individual (NPI-1)
- Name
- Dina Fara
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 11, 2023
- Certification date
- Jan 11, 2023
- Last updated
- Jan 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 124Q00000X | Dental Hygienist | 021559 | NY | Yes |
Practice location
101 S Bergen PlFreeport, NY 11520-3528
Phone 516-546-9077 · Fax 516-623-9191
Mailing address
1600 Stewart Ave Ste 300Westbury, NY 11590-6611
Phone 516-396-0187 · Fax 516-546-4114
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