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NPI Code Detail

MEDICARE: DR. BETTY CONSUELO DALMASI GOMEZ DDS

MEDICARE: DR. BETTY CONSUELO DALMASI GOMEZ DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist063913-01NY

General Provider Information

NPI Number : 1912614934
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BETTY CONSUELO DALMASI GOMEZ DDS
Provider Business Mailing Address
First Line : 1334 LOUIS NINE BLVD APT 8C
Second Line :
City : BRONX
State : NY
Zip : 10459-3398
Country : US
Telephone Number : 917-445-8100
Fax Number :
Provider Business Practice Location Address
First Line : 760 BROADWAY
Second Line :
City : BROOKLYN
State : NY
Zip : 11206-5317
Country : US
Telephone Number : 831-071-8963
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2022
Last Update Date : 04/19/2026

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