| Astoria Dental Town Pc | |
|
3060 Steinway St Fl 2 Astoria NY 11103-3854 | |
| (718) 278-2141 | |
| Not Available |
| Full Name | Astoria Dental Town Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3060 Steinway St Fl 2, Astoria, New York |
| Authorized Official Name and Position | Yakov Fuzaylov (PRESIDENT) |
| Authorized Official Contact | 9172020190 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Astoria Dental Town Pc 3060 Steinway St Fl 2 Astoria NY 11103-3854 Ph: () - | Astoria Dental Town Pc 3060 Steinway St Fl 2 Astoria NY 11103-3854 Ph: (718) 278-2141 |
| NPI Number | 1891073029 |
|---|---|
| Provider Enumeration Date | 07/21/2011 |
| Last Update Date | 07/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891073029 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 055027 (New York) | Primary |
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