Individual
IVETTA KROL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2102 BAY RIDGE PKWY, BROOKLYN, NY 11204
(718) 259-3828
(718) 837-1340
Mailing address
2102 BAY RIDGE PKWY, BROOKLYN, NY 11204
(718) 259-3828
(718) 837-1340
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
049572
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02220666
—
NY
Enumeration date
11/17/2006
Last updated
07/08/2007
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