Individual
IRENE S. GAVRAS-PETRAKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4102 28TH AVE, ASTORIA, NY 11103-2907
(718) 726-6291
Mailing address
4102 28TH AVE, ASTORIA, NY 11103-2907
(718) 726-6291
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
040197
NY
Other
Enumeration date
01/27/2009
Last updated
01/27/2009
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