5b105strdentalpc

NPI #1306052618 in Rockaway Park, New York

Provider Information

NPI Number
1306052618
Entity Type
Organization
Organization Name
5b105strdentalpc
Primary Specialty
Dentist
Enumeration Date
May 15, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
5 BEACH 105TH ST
ZIP Code
11694-2699
Phone
(718) 474-0007

Authorized Official

Name
DR. JOANNA KOWALEWSKI, DDS
Title
DENTIST
Phone
(718) 474-0007

Specialties & Taxonomy Codes

Specialty
Dentist

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