Javier Samudio, DDS
NPI 1679534895 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1847 Mott Ave Fl 2
Far Rockaway, NY 11691 - Phone
- (718) 327-7000
- Fax
- (718) 471-2071
- Organisation at this address
- Queens Pediatric Services, P.C.
Tri-Boro Dental Facial Trauma Consulting P.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 31
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-10-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York