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Individual

AMY KRISTINA HERBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
93-20A ROOSEVELT AVE, JACKSON HEIGHTS, NY 11377
(718) 838-9823
(718) 247-5727
Mailing address
360 RIVERSIDE DR APT 5A, NEW YORK, NY 10025-2750
(917) 273-8799

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
057554
NY
1223P0221X
Pediatric Dentistry
22DI02542600
NJ

Other

Enumeration date
11/20/2014
Last updated
10/12/2021
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