Into White Dental Arts, Pllc | |
4743 Vernon Blvd Ground Floor Long Island City NY 11101-5519 | |
(718) 361-3050 | |
Not Available |
Full Name | Into White Dental Arts, Pllc |
---|---|
Speciality | Clinic/center - Dental |
Location | 4743 Vernon Blvd, Long Island City, New York |
Authorized Official Name and Position | Steven Konstantine Mantinaos (OWNER/DENTIST-PROSTHODONTIST) |
Authorized Official Contact | 7183613050 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Into White Dental Arts, Pllc 4743 Vernon Blvd Ground Floor Long Island City NY 11101-5519 Ph: (718) 361-3050 | Into White Dental Arts, Pllc 4743 Vernon Blvd Ground Floor Long Island City NY 11101-5519 Ph: (718) 361-3050 |
NPI Number | 1790921062 |
---|---|
Provider Enumeration Date | 12/16/2008 |
Last Update Date | 11/05/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790921062 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 5067165 (New York) | Primary |
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› Verified 7 days ago
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