Organization
JEFFREY CARRASQUILLO DMD PLLC
Active
Other names
Jeffrey Carrasquillo DMD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY CARRASQUILLO DMD (PRESIDENT)
(718) 261-0260
Entity
Organization
Contact information
Practice address
66-25 MAURICE AVE, WOODSIDE, NY 11372
(718) 651-5941
(718) 261-4742
Mailing address
90-05 70TH DRIVE, FOREST HILLS, NY 11375
(718) 261-0260
(718) 261-4742
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
045010
NY
Other
Enumeration date
05/03/2007
Last updated
11/30/2012
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