| Mn Denatlcare Llc | |
|
3723 78th St Jackson Heights NY 11372-6631 | |
| (718) 899-2925 | |
| Not Available |
| Full Name | Mn Denatlcare Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3723 78th St, Jackson Heights, New York |
| Authorized Official Name and Position | Meser Ahmed (PRESIDENT) |
| Authorized Official Contact | 7188992925 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mn Denatlcare Llc 3723 78th St Jackson Heights NY 11372-6631 Ph: (718) 899-2925 | Mn Denatlcare Llc 3723 78th St Jackson Heights NY 11372-6631 Ph: (718) 899-2925 |
| NPI Number | 1033460753 |
|---|---|
| Provider Enumeration Date | 09/20/2012 |
| Last Update Date | 09/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033460753 | NPI | - | NPPES |
| 01439587 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 044837 (New York) | Primary |
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