Provider Demographics
NPI:1639367840
Name:SALES, MARIA (DDS)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:SALES
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11811 GUY R BREWER BLVD
Mailing Address - Street 2:JOSEPH P. ADDABO FHC
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11434-2101
Mailing Address - Country:US
Mailing Address - Phone:718-945-7150
Mailing Address - Fax:718-978-6888
Practice Address - Street 1:118-11 GUY R. BREWER BLVD
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11434-1952
Practice Address - Country:US
Practice Address - Phone:718-945-7150
Practice Address - Fax:718-978-6888
Is Sole Proprietor?:No
Enumeration Date:2007-10-12
Last Update Date:2013-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0545981223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice