| Dendac Dentist Pc | |
|
3317 30th Ave Astoria NY 11103-4680 | |
| (718) 267-0500 | |
| (718) 267-2784 |
| Full Name | Dendac Dentist Pc |
|---|---|
| Speciality | Dentist |
| Location | 3317 30th Ave, Astoria, New York |
| Authorized Official Name and Position | Ferdous Husne (VICE PRESIDENT) |
| Authorized Official Contact | 7184781710 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dendac Dentist Pc 3317 30th Ave Astoria NY 11103-4680 Ph: (718) 267-0500 | Dendac Dentist Pc 3317 30th Ave Astoria NY 11103-4680 Ph: (718) 267-0500 |
| NPI Number | 1356513170 |
|---|---|
| Provider Enumeration Date | 04/01/2008 |
| Last Update Date | 04/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356513170 | NPI | - | NPPES |
| 6925 | Other | NY | DORAL DENTAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 043268 (New York) | Primary |
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› Verified 5 days ago
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