Individual
DR. KENDRA DOREEN BLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
213 HALLOCK RD, SUITE 1, STONY BROOK, NY 11790-3000
(631) 689-5411
Mailing address
7 SEWARD LN, STONY BROOK, NY 11790-3108
(631) 689-0415
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
042182
NY
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
042182
NY
Other
Enumeration date
03/21/2007
Last updated
10/09/2018
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