Dental America Pc | |
81 14 Queens Blvd. Elmhurst NY 11373 | |
(718) 533-1515 | |
(718) 289-6508 |
Full Name | Dental America Pc |
---|---|
Speciality | Dentist - General Practice |
Location | 81 14 Queens Blvd., Elmhurst, New York |
Authorized Official Name and Position | Fabio Gerardo Cordero (PRESIDENT) |
Authorized Official Contact | 7185331515 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dental America Pc 8114 Queens Blvd Elmhurst NY 11373-3757 Ph: (718) 533-1515 | Dental America Pc 81 14 Queens Blvd. Elmhurst NY 11373 Ph: (718) 533-1515 |
NPI Number | 1033227798 |
---|---|
Provider Enumeration Date | 08/25/2006 |
Last Update Date | 03/26/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033227798 | NPI | - | NPPES |
9200032 | Other | NY | DORAL DENTAL IPA OF NY |
01435776 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 041162 (New York) | Primary |
News Archive
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