Angeles & Morales D.d.s.,p.c. | |
12511 111th Ave South Ozone Park NY 11420-1509 | |
(718) 845-6223 | |
(718) 738-1744 |
Full Name | Angeles & Morales D.d.s.,p.c. |
---|---|
Speciality | Dentist - General Practice |
Location | 12511 111th Ave, South Ozone Park, New York |
Authorized Official Name and Position | Jose Angeles (DENTIST) |
Authorized Official Contact | 7184715543 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Angeles & Morales D.d.s.,p.c. 12511 111th Ave South Ozone Park NY 11420-1509 Ph: (718) 845-6223 | Angeles & Morales D.d.s.,p.c. 12511 111th Ave South Ozone Park NY 11420-1509 Ph: (718) 845-6223 |
NPI Number | 1457576795 |
---|---|
Provider Enumeration Date | 04/13/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457576795 | NPI | - | NPPES |
01975680 | Medicaid | NY | |
02207445 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 047628 (New York) | Secondary |
1223G0001X | Dentist - General Practice | 047307 (New York) | Primary |
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