| Boulevard Dental | |
|
10149 Woodhaven Blvd Ozone Park NY 11416-2300 | |
| (718) 848-7722 | |
| (718) 835-1882 |
| Full Name | Boulevard Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10149 Woodhaven Blvd, Ozone Park, New York |
| Authorized Official Name and Position | Arthur E Asadorian (PRACTICE OWNER) |
| Authorized Official Contact | 7188487722 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boulevard Dental 10149 Woodhaven Blvd Ozone Park NY 11416-2300 Ph: (718) 848-7722 | Boulevard Dental 10149 Woodhaven Blvd Ozone Park NY 11416-2300 Ph: (718) 848-7722 |
| NPI Number | 1235386590 |
|---|---|
| Provider Enumeration Date | 08/19/2008 |
| Last Update Date | 08/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235386590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 37375 (New York) | Primary |
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