Individual
DR. KATHERINE SPORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
2391 BELL BLVD, BAYSIDE DENTAL ASSOCIATES, BAYSIDE, NY 11360-2019
(718) 631-7337
(718) 428-0431
Mailing address
2391 BELL BLVD, BAYSIDE DENTAL ASSOCIATES, BAYSIDE, NY 11360-2019
(718) 631-7337
(718) 428-0431
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
40916
NY
Other
Enumeration date
04/14/2007
Last updated
07/08/2007
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