Jeffrey Carrasquillo, DMD

NPI #1699010736 in Woodside, New York

Provider Information

NPI Number: 1699010736
Entity Type: Individual
Name: Jeffrey Carrasquillo, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Nov 29, 2012
Last Updated: Nov 29, 2012

Practice Location

Address: 6625 MAURICE AVE
City: Woodside
State: New York
ZIP Code: 11377-7536
Phone: (718) 651-5941

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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