NPI 1760485247

Mauricio Wiltz, DDS

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Bronx, NY

Practice location

Address: 3332 Rochambeau Avenue Department of Dentistry, 2nd Floor, Bronx, NY 10467-2836
Phone: (718) 920-4984
Fax: (718) 515-5419
Mailing address: 36 Halstead Ave, Yonkers, NY 10704-3008

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 043995 (NY)

Other Oral & Maxillofacial Surgery providers in New York →

Oral and Maxillofacial Surgery (Dentist)

Dental Providers Taxonomy 1223S0112X Licence 043995 (NY)

Other Dentist providers in New York →

Registry record

NPI: 1760485247
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 May 2005
Record last updated: 26 Nov 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.