Organization
ASTORIA KOOL SMILE DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PEGGY L VOELPEL (DIRECTOR CREDENTIALING & COMPLIANCE)
(321) 724-8398
Entity
Organization
Contact information
Practice address
3080 21ST ST, 2ND FLOOR MEDICAL CENTER, ASTORIA, NY 11102-4242
(718) 873-9550
(718) 228-4591
Mailing address
3080 21ST ST, 2ND FLOOR MEDICAL CENTER, ASTORIA, NY 11102-4242
(718) 873-9550
(718) 228-4591
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/20/2011
Last updated
07/20/2011
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