Tina Malakova Dental Services P.c. | |
9123 Queens Blvd Ste B Elmhurst NY 11373-5559 | |
(718) 205-2055 | |
(718) 205-2355 |
Full Name | Tina Malakova Dental Services P.c. |
---|---|
Speciality | Clinic/center - Dental |
Location | 9123 Queens Blvd Ste B, Elmhurst, New York |
Authorized Official Name and Position | Alevtina Malakova (DENTIST OWNER) |
Authorized Official Contact | 7187444811 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Tina Malakova Dental Services P.c. 10025 Queens Blvd Apt 5s Forest Hills NY 11375-2460 Ph: (718) 500-4560 | Tina Malakova Dental Services P.c. 9123 Queens Blvd Ste B Elmhurst NY 11373-5559 Ph: (718) 205-2055 |
NPI Number | 1194360271 |
---|---|
Provider Enumeration Date | 11/12/2019 |
Last Update Date | 11/12/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194360271 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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