Individual
MERAV KROLL FRUCHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
441 N MAIN ST, FREEPORT, NY 11520-1229
(516) 379-5500
Mailing address
6847 147TH ST, FLUSHING, NY 11367-1345
(718) 520-6764
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
045599
NY
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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