Camille Suzette San Miguel, DDS Valid NPI
Individual provider · Pediatric Dentistry · Woodhaven, NY
- NPI
- 1477051787
- Type
- Individual (Type 1)
- Primary specialty
- Pediatric Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223P0221X
- License number
- 061259 (NY)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2018-02-01
- Last updated
- 2021-07-13
Practice location
8708 Woodhaven Blvd
Woodhaven, NY 11421-2284
(718) 805-7777