| Rockaway Family Dentistry Pllc | |
|
14712 Rockaway Blvd Jamaica NY 11436-1634 | |
| (718) 732-7744 | |
| (347) 644-1745 |
| Full Name | Rockaway Family Dentistry Pllc |
|---|---|
| Speciality | Dentist |
| Location | 14712 Rockaway Blvd, Jamaica, New York |
| Authorized Official Name and Position | Koorosh Shamtoub (PRESIDENT) |
| Authorized Official Contact | 7187327744 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rockaway Family Dentistry Pllc 14712 Rockaway Blvd Jamaica NY 11436-1634 Ph: (718) 732-7744 | Rockaway Family Dentistry Pllc 14712 Rockaway Blvd Jamaica NY 11436-1634 Ph: (718) 732-7744 |
| NPI Number | 1316212897 |
|---|---|
| Provider Enumeration Date | 03/15/2012 |
| Last Update Date | 03/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316212897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 051063 (New York) | Primary |
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