| Kings 26 Dentistry | |
|
10504 Crossbay Blvd 2nd Floor Ozone Park NY 11417-1515 | |
| (718) 843-4444 | |
| (718) 843-5097 |
| Full Name | Kings 26 Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10504 Crossbay Blvd, Ozone Park, New York |
| Authorized Official Name and Position | Faramarz Khalili (PRIMARY PROVIDER) |
| Authorized Official Contact | 7188434444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kings 26 Dentistry 10504 Crossbay Blvd 2nd Floor Ozone Park NY 11417-1515 Ph: (718) 843-4444 | Kings 26 Dentistry 10504 Crossbay Blvd 2nd Floor Ozone Park NY 11417-1515 Ph: (718) 843-4444 |
| NPI Number | 1376793414 |
|---|---|
| Provider Enumeration Date | 09/25/2008 |
| Last Update Date | 09/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376793414 | NPI | - | NPPES |
| 01804719 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 047305 (New York) | Primary |
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