Individual
MRS. ELIZABETH ZOFIA CANDELA-KRUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
380 WASHINGTON AVE, ROOSEVELT, NY 11575-1845
(516) 378-2000
Mailing address
2401 BABYLON ST, WANTAGH, NY 11793-4501
(516) 409-5171
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
7365448
NY
Other
Enumeration date
11/03/2017
Last updated
11/03/2017
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