Advanced Quality Dental Health Pc | |
4016 83rd St Advanced Quality Dental Health Pc Elmhurst NY 11373-1307 | |
(718) 899-5309 | |
(718) 899-5309 |
Full Name | Advanced Quality Dental Health Pc |
---|---|
Speciality | Dentist |
Location | 4016 83rd St, Elmhurst, New York |
Authorized Official Name and Position | Carlina Damianou (OWNER PRESIDENT DENTIST) |
Authorized Official Contact | 7188995309 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Advanced Quality Dental Health Pc 4016 83rd St Advanced Quality Dental Health Pc Elmhurst NY 11373-1307 Ph: (718) 899-5309 | Advanced Quality Dental Health Pc 4016 83rd St Advanced Quality Dental Health Pc Elmhurst NY 11373-1307 Ph: (718) 899-5309 |
NPI Number | 1659354975 |
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Provider Enumeration Date | 11/21/2005 |
Last Update Date | 07/28/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659354975 | NPI | - | NPPES |
0016321 | Other | NY | FIDELIS |
01025290 | Medicaid | NY | |
013611 | Other | NY | DORAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 0406371 (New York) | Primary |
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