| Austin Dental Plus, Pllc | |
|
110-74 Queens Blvd Forest Hills NY 11375 | |
| (718) 544-5055 | |
| Not Available |
| Full Name | Austin Dental Plus, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 110-74 Queens Blvd, Forest Hills, New York |
| Authorized Official Name and Position | Sylvester Anthony Evangelista (OWNER) |
| Authorized Official Contact | 7185445055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Austin Dental Plus, Pllc 110-74 Queens Blvd Forest Hills NY 11375 Ph: (718) 544-5055 | Austin Dental Plus, Pllc 110-74 Queens Blvd Forest Hills NY 11375 Ph: (718) 544-5055 |
| NPI Number | 1396142709 |
|---|---|
| Provider Enumeration Date | 12/01/2014 |
| Last Update Date | 12/01/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396142709 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 48294 (New York) | Primary |
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