| Dental Universe | |
|
9110 Jamaica Ave Woodhaven NY 11421-2105 | |
| (718) 805-4444 | |
| (718) 805-4449 |
| Full Name | Dental Universe |
|---|---|
| Speciality | Dentist |
| Location | 9110 Jamaica Ave, Woodhaven, New York |
| Authorized Official Name and Position | Shahin Rahmanian (OWNER) |
| Authorized Official Contact | 7188054444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Universe 9110 Jamaica Ave Woodhaven NY 11421-2105 Ph: (718) 805-4444 | Dental Universe 9110 Jamaica Ave Woodhaven NY 11421-2105 Ph: (718) 805-4444 |
| NPI Number | 1104147313 |
|---|---|
| Provider Enumeration Date | 06/22/2010 |
| Last Update Date | 06/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104147313 | NPI | - | NPPES |
| 02783824 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 052741 (New York) | Primary |
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