Provider Demographics
NPI:1679271035
Name:TADROS, VERONICA (DMD)
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:
Last Name:TADROS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:971 ROUTE 45 STE 102
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:NY
Mailing Address - Zip Code:10970-3529
Mailing Address - Country:US
Mailing Address - Phone:845-362-2200
Mailing Address - Fax:845-362-2291
Practice Address - Street 1:971 ROUTE 45 STE 102
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:NY
Practice Address - Zip Code:10970-3529
Practice Address - Country:US
Practice Address - Phone:845-362-2200
Practice Address - Fax:845-362-2291
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-15
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY0637811223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry