Elmhurst Orthodontics, Pc | |
79-11 41st Ave Unit A107 Elmhurst NY 11373-1258 | |
(718) 205-2888 | |
Not Available |
Full Name | Elmhurst Orthodontics, Pc |
---|---|
Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 79-11 41st Ave, Elmhurst, New York |
Authorized Official Name and Position | Ariel Bales-kogan (ORTHODONTIST) |
Authorized Official Contact | 6173194180 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Elmhurst Orthodontics, Pc 79-11 41st Ave Unit A107 Elmhurst NY 11373-1258 Ph: (718) 205-2888 | Elmhurst Orthodontics, Pc 79-11 41st Ave Unit A107 Elmhurst NY 11373-1258 Ph: (718) 205-2888 |
NPI Number | 1528402112 |
---|---|
Provider Enumeration Date | 04/25/2013 |
Last Update Date | 04/25/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528402112 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 055373 (New York) | Primary |
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