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General NPI Number Information
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NPI Number | 1265905830
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Entity Type | Organization
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Legal Business Name | DAVID KRONER DDS PC
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Dates
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Enumeration Date | 01/07/2019
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Last Update Date | 01/07/2019
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Provider Practice Location Address
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Address Line | 560 NORTHERN BLVD STE 205
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City | GREAT NECK
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State | NY
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Zip | 11021-5113
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Country | US
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Telephone | 516-515-7310
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Fax |
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Provider Business Mailing Address
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Address Line | 10524 67TH AVE APT 5B
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City | FOREST HILLS
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State | NY
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Zip | 11375-2181
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Country | US
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Telephone | 929-318-0100
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID KRONER
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Credential | DDS
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Telephone | 929-318-0100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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