| 92 Jamaica Ave Dentistry Pc | |
|
9709 Jamaica Ave Woodhaven NY 11421-2211 | |
| (917) 776-7520 | |
| Not Available |
| Full Name | 92 Jamaica Ave Dentistry Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9709 Jamaica Ave, Woodhaven, New York |
| Authorized Official Name and Position | Kamrooz Korori (DENTIST) |
| Authorized Official Contact | 4079779230 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 92 Jamaica Ave Dentistry Pc 9709 Jamaica Ave Woodhaven NY 11421-2211 Ph: (917) 776-7520 | 92 Jamaica Ave Dentistry Pc 9709 Jamaica Ave Woodhaven NY 11421-2211 Ph: (917) 776-7520 |
| NPI Number | 1033565122 |
|---|---|
| Provider Enumeration Date | 05/09/2016 |
| Last Update Date | 05/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033565122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 0491371 (New York) | Primary |
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