| Vida Dental Spa | |
|
1101 154th St Whitestone NY 11357-1954 | |
| (718) 559-6090 | |
| (718) 504-7500 |
| Full Name | Vida Dental Spa |
|---|---|
| Speciality | Dentist |
| Location | 1101 154th St, Whitestone, New York |
| Authorized Official Name and Position | Maria Teresa Ioannou (OWNER) |
| Authorized Official Contact | 9178429807 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vida Dental Spa 1101 154th St Whitestone NY 11357-1954 Ph: (718) 559-6090 | Vida Dental Spa 1101 154th St Whitestone NY 11357-1954 Ph: (718) 559-6090 |
| NPI Number | 1487192340 |
|---|---|
| Provider Enumeration Date | 02/10/2017 |
| Last Update Date | 02/10/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487192340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 050794 (New York) | Primary |
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