MRS. Mildred Echevarria Thaw, RDH

NPI #1053884973 in Deer Park, New York

Provider Information

NPI Number: 1053884973
Entity Type: Individual
Name: MRS. Mildred Echevarria Thaw, RDH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Jan 3, 2019
Last Updated: Jan 3, 2019

Practice Location

Address: 162 W 19TH ST
City: Deer Park
State: New York
ZIP Code: 11729-4834
Phone: (516) 314-2827

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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