Tooth | |
6107 Utopia Pkwy 2fl Fresh Meadows NY 11365-2155 | |
(718) 886-6843 | |
(718) 886-6853 |
Full Name | Tooth |
---|---|
Speciality | Dentist - General Practice |
Location | 6107 Utopia Pkwy, Fresh Meadows, New York |
Authorized Official Name and Position | Ahmad Barak (MANAGER) |
Authorized Official Contact | 7188866843 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Tooth 6107 Utopia Pkwy 2fl Fresh Meadows NY 11365-2155 Ph: (718) 886-6843 | Tooth 6107 Utopia Pkwy 2fl Fresh Meadows NY 11365-2155 Ph: (718) 886-6843 |
NPI Number | 1154610160 |
---|---|
Provider Enumeration Date | 03/30/2011 |
Last Update Date | 06/01/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154610160 | NPI | - | NPPES |
03046559 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 052876 (New York) | Primary |
News Archive
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