| Sola Dental Kids | |
|
3777 Richmond Ave Staten Island NY 10312-3827 | |
| (718) 948-2092 | |
| Not Available |
| Full Name | Sola Dental Kids |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3777 Richmond Ave, Staten Island, New York |
| Authorized Official Name and Position | Anne Gershkowitz (PRESIDENT) |
| Authorized Official Contact | 7189482092 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sola Dental Kids 3777 Richmond Ave Staten Island NY 10312-3827 Ph: () - | Sola Dental Kids 3777 Richmond Ave Staten Island NY 10312-3827 Ph: (718) 948-2092 |
| NPI Number | 1821222589 |
|---|---|
| Provider Enumeration Date | 05/11/2009 |
| Last Update Date | 05/11/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821222589 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 050415 (New York) | Primary |
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