Deborahninadentalofficepc | |
9203 Roosevelt Ave Jackson Heights NY 11372-7941 | |
(718) 429-6622 | |
(718) 429-6669 |
Full Name | Deborahninadentalofficepc |
---|---|
Speciality | Dentist - General Practice |
Location | 9203 Roosevelt Ave, Jackson Heights, New York |
Authorized Official Name and Position | Deborah Nina (OWNER) |
Authorized Official Contact | 7184296622 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Deborahninadentalofficepc 9203 Roosevelt Ave Jackson Heights NY 11372-7941 Ph: (718) 429-6622 | Deborahninadentalofficepc 9203 Roosevelt Ave Jackson Heights NY 11372-7941 Ph: (718) 429-6622 |
NPI Number | 1881991214 |
---|---|
Provider Enumeration Date | 02/21/2011 |
Last Update Date | 01/09/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881991214 | NPI | - | NPPES |
02348667 | Medicaid | NY |
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