| Queens Professional Dental Care | |
|
86-18a 37th Avenue Jackson Heights NY 11372 | |
| (718) 898-8080 | |
| (718) 898-0422 |
| Full Name | Queens Professional Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 86-18a 37th Avenue, Jackson Heights, New York |
| Authorized Official Name and Position | Hassan M Alamzad (OWNER) |
| Authorized Official Contact | 7188988080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Queens Professional Dental Care 86-18a 37th Avenue Jackson Heights NY 11372 Ph: (718) 898-8080 | Queens Professional Dental Care 86-18a 37th Avenue Jackson Heights NY 11372 Ph: (718) 898-8080 |
| NPI Number | 1194997072 |
|---|---|
| Provider Enumeration Date | 03/31/2008 |
| Last Update Date | 03/31/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194997072 | NPI | - | NPPES |
| 02737800 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 041660 (New York) | Primary |
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