Provider Demographics
NPI:1508050535
Name:LINARES, CESAR A (DDS)
Entity Type:Individual
Prefix:DR
First Name:CESAR
Middle Name:A
Last Name:LINARES
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16618 73RD AVE
Mailing Address - Street 2:
Mailing Address - City:FRESH MEADOWS
Mailing Address - State:NY
Mailing Address - Zip Code:11366-1244
Mailing Address - Country:US
Mailing Address - Phone:718-591-6852
Mailing Address - Fax:718-591-6853
Practice Address - Street 1:16618 73RD AVE
Practice Address - Street 2:
Practice Address - City:FRESH MEADOWS
Practice Address - State:NY
Practice Address - Zip Code:11366-1244
Practice Address - Country:US
Practice Address - Phone:718-591-6852
Practice Address - Fax:718-591-6853
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-03
Last Update Date:2007-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY039374-11223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice