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
- City
- Rockaway Park
- State
- New York
- 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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