| 77 Dental Pc | |
|
37-40 77 Street 1st Fl Jackson Heights NY 11372-6630 | |
| (718) 779-3324 | |
| (718) 779-3324 |
| Full Name | 77 Dental Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 37-40 77 Street, Jackson Heights, New York |
| Authorized Official Name and Position | Manohar K Shrestha (PRESIDENT) |
| Authorized Official Contact | 7187793324 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 77 Dental Pc 37-40 77 Street 1st Fl Jackson Heights NY 11372-6630 Ph: (718) 779-3324 | 77 Dental Pc 37-40 77 Street 1st Fl Jackson Heights NY 11372-6630 Ph: (718) 779-3324 |
| NPI Number | 1902186695 |
|---|---|
| Provider Enumeration Date | 08/25/2011 |
| Last Update Date | 08/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902186695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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