Organization
SOLA DENTAL PC
Active
Other names
Sola Dental Kids
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNE GERSHKOWITZ DDS (PRESIDENT)
(718) 948-2092
Entity
Organization
Contact information
Practice address
3777 RICHMOND AVE, STATEN ISLAND, NY 10312-3827
(718) 948-2092
Mailing address
3777 RICHMOND AVE, STATEN ISLAND, NY 10312-3827
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
050415
NY
Other
Enumeration date
05/11/2009
Last updated
05/11/2009
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