Vanguard Dental, Pllc | |
200 Old Country Rd Suite 520 Mineola NY 11501-4235 | |
(516) 739-3000 | |
Not Available |
Full Name | Vanguard Dental, Pllc |
---|---|
Speciality | Dentist - General Practice |
Location | 200 Old Country Rd, Mineola, New York |
Authorized Official Name and Position | Shakiba Jackie Shayani (DIRECTOR) |
Authorized Official Contact | 5167393000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Vanguard Dental, Pllc 200 Old Country Rd Suite 520 Mineola NY 11501-4235 Ph: (516) 739-3000 | Vanguard Dental, Pllc 200 Old Country Rd Suite 520 Mineola NY 11501-4235 Ph: (516) 739-3000 |
NPI Number | 1598013880 |
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Provider Enumeration Date | 08/17/2012 |
Last Update Date | 08/17/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598013880 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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› Verified 6 days ago
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