Love My Smile Dental Pc | |
9123 Queens Blvd Ste B Elmhurst NY 11373-5531 | |
(718) 205-2055 | |
Not Available |
Full Name | Love My Smile Dental Pc |
---|---|
Speciality | Clinic/center - Dental |
Location | 9123 Queens Blvd Ste B, Elmhurst, New York |
Authorized Official Name and Position | Carlos R Acosta (GENERAL DENTIST) |
Authorized Official Contact | 7182052055 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Love My Smile Dental Pc 9123 Queens Blvd Ste B Elmhurst NY 11373-5531 Ph: (718) 205-2055 | Love My Smile Dental Pc 9123 Queens Blvd Ste B Elmhurst NY 11373-5531 Ph: (718) 205-2055 |
NPI Number | 1033613112 |
---|---|
Provider Enumeration Date | 03/22/2018 |
Last Update Date | 03/22/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033613112 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 046220-1 (New York) | Primary |
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