Dumitru, Liana Viorica

Dumitru, Liana Viorica is an individual health care provider with primary practice located at 5825 Myrtle Avenue , Ridgewood NY 11385. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Dumitru, Liana Viorica can be contacted via phone (718) 821-1961.

Contact Information

Primary practice address
5825 Myrtle Avenue Ridgewood NY 11385
Fax: (718) 821-6491
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 0452161 New York

Profile Details

NPI number 1700939527
LBN Legal business name Dumitru, Liana Viorica
Credentials GENERAL DENTIST
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700939527 NPPES
New York MEDICAID 01823303

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