Dynasty Dental Care | |
10857 64th Ave Ste 1 Forest Hills NY 11375-1442 | |
(718) 830-6263 | |
Not Available |
Full Name | Dynasty Dental Care |
---|---|
Speciality | Dentist |
Location | 10857 64th Ave Ste 1, Forest Hills, New York |
Authorized Official Name and Position | Alexander Borukhov (OWNER) |
Authorized Official Contact | 7188306263 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dynasty Dental Care 10857 64th Ave Ste 1 Forest Hills NY 11375-1442 Ph: (718) 830-6263 | Dynasty Dental Care 10857 64th Ave Ste 1 Forest Hills NY 11375-1442 Ph: (718) 830-6263 |
NPI Number | 1215196944 |
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Provider Enumeration Date | 06/06/2008 |
Last Update Date | 06/06/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215196944 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 048512 (New York) | Primary |
News Archive
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› Verified 2 days ago
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