Individual
DR. KATHLEEN REYES GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 470-3076
Mailing address
304 COMMUNITY DR APT 1J, MANHASSET, NY 11030-3835
(914) 882-9882
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
13040
CT
1223P0221X
Pediatric Dentistry
Primary
13040
CT
Other
Enumeration date
03/05/2019
Last updated
05/25/2021
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