| Corona Family Dental Center | |
|
3766 Junction Boulevard Corona NY 11368 | |
| (718) 898-1300 | |
| (718) 533-8644 |
| Full Name | Corona Family Dental Center |
|---|---|
| Speciality | Dentist |
| Location | 3766 Junction Boulevard, Corona, New York |
| Authorized Official Name and Position | Edward J Sutton (PRES) |
| Authorized Official Contact | 7186453000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Corona Family Dental Center 1956 Ocean Parkway 1 Brooklyn NY 11223 Ph: (718) 645-3000 | Corona Family Dental Center 3766 Junction Boulevard Corona NY 11368 Ph: (718) 898-1300 |
| NPI Number | 1841389046 |
|---|---|
| Provider Enumeration Date | 10/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841389046 | NPI | - | NPPES |
| 02419670 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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