Organization
CORONA FAMILY DENTAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY SKLARIN (PRESIDENT)
(718) 507-1500
Entity
Organization
Contact information
Practice address
3731 103RD ST, CORONA, NY 11368-1952
(718) 507-1500
(718) 507-1755
Mailing address
3731 103RD ST, CORONA, NY 11368-1979
(718) 507-1500
(718) 507-1755
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/17/2011
Last updated
02/17/2011
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