State Dental Arts P.c | |
6715 Roosevelt Ave Woodside NY 11377 | |
(917) 815-5767 | |
Not Available |
Full Name | State Dental Arts P.c |
---|---|
Speciality | Dentist - General Practice |
Location | 6715 Roosevelt Ave, Woodside, New York |
Authorized Official Name and Position | Ligia V State (DENTIST) |
Authorized Official Contact | 9178155767 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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State Dental Arts P.c 6715 Roosevelt Ave Woodside NY 11377 Ph: () - | State Dental Arts P.c 6715 Roosevelt Ave Woodside NY 11377 Ph: (917) 815-5767 |
NPI Number | 1114267283 |
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Provider Enumeration Date | 02/26/2013 |
Last Update Date | 02/26/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114267283 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 052176 (New York) | Primary |
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