Individual
MRS. ANNE KRIKOR DERDERIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
10620 OTIS AVE, CORONA, NY 11368
(718) 271-0661
(718) 520-0888
Mailing address
10620 OTIS AVE, CORONA, NY 11368
(718) 271-0661
(718) 520-0888
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
035878
NY
Other
Enumeration date
02/06/2008
Last updated
02/06/2008
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