DR. Edly Destine, DDS

NPI #1326387341 in Mount Vernon, New York

Provider Information

NPI Number: 1326387341
Entity Type: Individual
Name: DR. Edly Destine, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Feb 11, 2013
Last Updated: Nov 9, 2018

Practice Location

Address: 88 W LINCOLN AVE STE 102
City: Mount Vernon
State: New York
ZIP Code: 10550-1181
Phone: (146) 996-9889

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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