| Arden Dental Pc | |
|
337 Hampton Green Staten Island NY 10312-0000 | |
| (718) 948-0870 | |
| Not Available |
| Full Name | Arden Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 337 Hampton Green, Staten Island, New York |
| Authorized Official Name and Position | Valery Dubovikov (DDS/OWNER) |
| Authorized Official Contact | 7189480870 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Arden Dental Pc 337 Hampton Green Staten Island NY 10312-0000 Ph: () - | Arden Dental Pc 337 Hampton Green Staten Island NY 10312-0000 Ph: (718) 948-0870 |
| NPI Number | 1578898177 |
|---|---|
| Provider Enumeration Date | 10/15/2009 |
| Last Update Date | 09/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578898177 | NPI | - | NPPES |
| 02355737 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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