Individual
CAREEN FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
5121 108TH ST, CORONA, NY 11368-3304
(718) 699-9500
Mailing address
5121 108TH ST, CORONA, NY 11368-3304
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
057592-1
NY
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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