Individual
DR. KRISTEN MARIE FORLANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
375 E MAIN ST, EAST ISLIP, NY 11730-2840
(631) 581-5121
Mailing address
375 E MAIN ST, EAST ISLIP, NY 11730-2840
(631) 581-5121
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
061866
NY
Other
Enumeration date
02/06/2020
Last updated
08/18/2021
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