Individual
DANIELLE KRISTAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
372 AVENUE U, 2ND FLOOR, BROOKLYN, NY 11223
(718) 998-5100
Mailing address
20 OAK DR, ROSLYN, NY 11576-2324
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
13331
CT
Other
Enumeration date
07/04/2022
Last updated
07/04/2022
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