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Search › New York › 124Q00000X

Eyra Ixcolin, RDH

NPI 1780950154 · on the registry since 2012

Practice

Address
2000 Grand Ave
North Baldwin, NY 11510
Phone
(516) 378-1968
Fax
(516) 608-9319
Organisation at this address
Grand Dental, P. C.
Grand Dental Care Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
124Q00000X
124Q00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-03-29

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