Jeffrey Carrasquillo Dmd Pllc

NPI #1376765859 in Woodside, New York

Provider Information

NPI Number: 1376765859
Entity Type: Organization
Organization Name: Jeffrey Carrasquillo Dmd Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: May 3, 2007
Last Updated: Nov 30, 2012

Practice Location

Address: 66-25 MAURICE AVE
City: Woodside
State: New York
ZIP Code: 11372
Phone: (718) 651-5941

Authorized Official

Name: DR. JEFFREY CARRASQUILLO, DMD
Title: PRESIDENT
Phone: (718) 261-0260

Specialties & Taxonomy Codes

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

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