Bayside Dental Arts | |
21307 Northern Blvd Bayside NY 11361-3343 | |
(917) 960-9196 | |
Not Available |
Full Name | Bayside Dental Arts |
---|---|
Speciality | Dentist |
Location | 21307 Northern Blvd, Bayside, New York |
Authorized Official Name and Position | Andrey Ilyabayev (OWNER) |
Authorized Official Contact | 9176924374 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bayside Dental Arts 21307 Northern Blvd Bayside NY 11361-3343 Ph: (917) 960-9196 | Bayside Dental Arts 21307 Northern Blvd Bayside NY 11361-3343 Ph: (917) 960-9196 |
NPI Number | 1538858659 |
---|---|
Provider Enumeration Date | 05/04/2023 |
Last Update Date | 05/05/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538858659 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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