Hanette Gomez Dds

LBN: Clinica Dental Latina
Hanette Gomez Dds is an health care organization with primary practice located at 9605 40Th Rd , Corona NY 11368-2138. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Clinica Dental Latina can be contacted via phone (718) 651-7070, or through Isidor, Julio via phone (718) 651-7070.

Contact Information

Primary practice address
9605 40Th Rd Corona NY 11368-2138
Phone: (718) 651-7070
Fax: (718) 651-6559
Website:
Map and Directions
Authorized official contact:
Name: Isidor, Julio
Phone: (718) 651-7070

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 0438631 New York

Profile Details

NPI number 1902177843
LBN Legal business name Clinica Dental Latina
DBA Doing business as Hanette Gomez Dds
Authorized official Isidor, Julio
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2012
Last updated Jan 24th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902177843 NPPES
New York MEDICAID 01281218

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