5B105STRDENTALPC

ROCKAWAY PARK, NY
NPI1306052618
Entity TypeOrganization
Authorized ContactJOANNA KOWALEWSKI
Dentist
718-474-0007
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: NY  046206-1)
Enumeration Date2007-05-15
Last Update Date2020-08-22
Business Address
5B105STRDENTALPC
5 BEACH 105TH ST
ROCKAWAY PARK, NY 11694-2699
Phone number: 718-474-0007
Mailing Address
5B105STRDENTALPC
5 BEACH 105TH ST
ROCKAWAY PARK, NY 11694-2699
Phone number: 718-474-0007
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