Organization
GROSS AND FLORES DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CORAZON FLORES DDS (DDS/VICE PRESIDENT)
(845) 452-6110
Entity
Organization
Contact information
Practice address
12 DAVIS AVE, POUGHKEEPSIE, NY 12603-2408
(845) 473-4565
Mailing address
12 DAVIS AVE, POUGHKEEPSIE, NY 12603-2408
(845) 473-4565
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
35977
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01934963
—
NY
Enumeration date
03/29/2008
Last updated
11/16/2017
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