STATEN ISLAND MALL DENTAL, P.C.

STATEN ISLAND, NY
NPI1013139237
Entity TypeOrganization
Authorized ContactROSS KRASNOV
Dentist
718-982-5500
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: NY  046-043)
Enumeration Date2007-05-03
Last Update Date2020-08-22
Business Address
STATEN ISLAND MALL DENTAL, P.C.
2655 RICHMOND AVENUE 2220
STATEN ISLAND, NY 10314
Phone number: 718-982-5500
Mailing Address
STATEN ISLAND MALL DENTAL, P.C.
2655 RICHMOND AVENUE 2220
STATEN ISLAND, NY 10314
Phone number: 718-982-5500
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