Arden Dental Pc | |
337 Hampton Green Staten Island NY 10312-0000 | |
(718) 948-0870 | |
Not Available |
Full Name | Arden Dental Pc |
---|---|
Speciality | Dentist - General Practice |
Location | 337 Hampton Green, Staten Island, New York |
Authorized Official Name and Position | Valery Dubovikov (DDS/OWNER) |
Authorized Official Contact | 7189480870 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Arden Dental Pc 337 Hampton Green Staten Island NY 10312-0000 Ph: () - | Arden Dental Pc 337 Hampton Green Staten Island NY 10312-0000 Ph: (718) 948-0870 |
NPI Number | 1578898177 |
---|---|
Provider Enumeration Date | 10/15/2009 |
Last Update Date | 09/25/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578898177 | NPI | - | NPPES |
02355737 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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