Oral & Maxillofacial Surgery Of Queens, Llc | |
8201 Roosevelt Avenue, 2nd Floor Jackson Heights NY 11372 | |
(718) 844-9903 | |
(347) 436-9569 |
Full Name | Oral & Maxillofacial Surgery Of Queens, Llc |
---|---|
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 8201 Roosevelt Avenue, 2nd Floor, Jackson Heights, New York |
Authorized Official Name and Position | Arian Sadeghi (OWNER) |
Authorized Official Contact | 3475795159 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Oral & Maxillofacial Surgery Of Queens, Llc 8201 Roosevelt Avenue, 2nd Floor Jackson Heights NY 11372 Ph: (718) 844-9903 | Oral & Maxillofacial Surgery Of Queens, Llc 8201 Roosevelt Avenue, 2nd Floor Jackson Heights NY 11372 Ph: (718) 844-9903 |
NPI Number | 1205224631 |
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Provider Enumeration Date | 01/08/2015 |
Last Update Date | 06/04/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205224631 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (New York) | Primary |
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