Astoria Kool Smile Dental PC

NPI #1245528553 in Astoria, New York

Provider Information

NPI Number: 1245528553
Entity Type: Organization
Organization Name: Astoria Kool Smile Dental PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 20, 2011
Last Updated: Jul 20, 2011

Practice Location

Address: 3080 21ST ST
Address 2: 2ND FLOOR MEDICAL CENTER
City: Astoria
State: New York
ZIP Code: 11102-4242
Phone: (718) 873-9550

Authorized Official

Name: MRS. PEGGY L VOELPEL
Title: DIRECTOR CREDENTIALING & COMPLIANCE
Phone: (321) 724-8398

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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