Queens Central Dental | |
8306 Northern Blvd Jackson Heights NY 11372-1460 | |
(718) 429-0440 | |
Not Available |
Full Name | Queens Central Dental |
---|---|
Speciality | Dentist |
Location | 8306 Northern Blvd, Jackson Heights, New York |
Authorized Official Name and Position | Ilya Male Ames (PRESIDENT) |
Authorized Official Contact | 7183092531 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Queens Central Dental 8306 Northern Blvd Jackson Heights NY 11372-1460 Ph: (718) 429-0440 | Queens Central Dental 8306 Northern Blvd Jackson Heights NY 11372-1460 Ph: (718) 429-0440 |
NPI Number | 1548701261 |
---|---|
Provider Enumeration Date | 03/14/2017 |
Last Update Date | 03/14/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548701261 | NPI | - | NPPES |
02615007 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 051675-1 (New York) | Primary |
News Archive
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