Individual
DR. KERI A GREENE-MASKELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
380 N BROADWAY, SUITE L1, JERICHO, NY 11753-2115
(516) 433-1422
(516) 433-7007
Mailing address
380 N BROADWAY, SUITE L1, JERICHO, NY 11753-2115
(516) 433-1422
(516) 433-7007
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
047323-1
NY
Other
Enumeration date
02/28/2008
Last updated
09/19/2018
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