Kristen Brocavich, DDS

NPI #1851901896 in Islip, New York

Provider Information

NPI Number
1851901896
Entity Type
Individual
Name
Kristen Brocavich, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Periodontics
Credential
DDS
Enumeration Date
Aug 4, 2020
Last Updated
Aug 4, 2020

Practice Location

Address
150 ISLIP AVE STE 11
City
Islip
ZIP Code
11751-3222
Phone
(631) 581-3100

Specialties & Taxonomy Codes

Specialty
Dentist - PeriodonticsPeriodontics

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