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Individual

DR. SARA JANE SKURNICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
195 BRIDGETOWN STREET, STATEN ISLAND PEDIATRIC DENTAL, STATEN ISLAND, NY 10314-6006
(718) 761-7316
Mailing address
2533 86 STREET, BROOKLYN, NY 11214
(718) 372-0009
(718) 372-0010

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
040614-1
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
22D10577400
NJ

Other

Enumeration date
10/10/2006
Last updated
07/08/2007
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