Organization
CORONA FAMILY DENTAL ASSOC PC
Active
Other names
Corona Family Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD J SUTTON DDS (PRES)
(718) 645-3000
Entity
Organization
Contact information
Practice address
3766 JUNCTION BOULEVARD, CORONA, NY 11368
(718) 898-1300
(718) 533-8644
Mailing address
1956 OCEAN PARKWAY, 1, BROOKLYN, NY 11223
(718) 645-3000
(718) 645-4393
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02419670
—
NY
Enumeration date
10/12/2006
Last updated
08/22/2020
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