| Corona Family Dental P.c. | |
|
3731 103rd St Corona NY 11368-1952 | |
| (718) 507-1500 | |
| (718) 507-1755 |
| Full Name | Corona Family Dental P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3731 103rd St, Corona, New York |
| Authorized Official Name and Position | Jeffrey Sklarin (PRESIDENT) |
| Authorized Official Contact | 7185071500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Corona Family Dental P.c. 3731 103rd St Corona NY 11368-1979 Ph: (718) 507-1500 | Corona Family Dental P.c. 3731 103rd St Corona NY 11368-1952 Ph: (718) 507-1500 |
| NPI Number | 1447557004 |
|---|---|
| Provider Enumeration Date | 02/17/2011 |
| Last Update Date | 02/17/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447557004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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