Organization
KATHLEEN M. FROST, DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHLEEN M FROST DDS (PRESIDENT/OWNER)
(631) 581-3100
Entity
Organization
Contact information
Practice address
150 ISLIP AVE STE 11, ISLIP, NY 11751-3222
(631) 581-3100
(631) 581-8164
Mailing address
150 ISLIP AVE STE 11, ISLIP, NY 11751-3222
(631) 581-3100
(631) 581-8164
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
01/13/2021
Last updated
01/13/2021
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