| Astoria General Dentistry, P.c. | |
|
3018 31st Ave Astoria NY 11106-2405 | |
| (718) 545-7046 | |
| (715) 545-2606 |
| Full Name | Astoria General Dentistry, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3018 31st Ave, Astoria, New York |
| Authorized Official Name and Position | Wanda E Mejia (OWNER) |
| Authorized Official Contact | 7185457046 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Astoria General Dentistry, P.c. 3018 31st Ave Astoria NY 11106-2405 Ph: (718) 545-7046 | Astoria General Dentistry, P.c. 3018 31st Ave Astoria NY 11106-2405 Ph: (718) 545-7046 |
| NPI Number | 1801097795 |
|---|---|
| Provider Enumeration Date | 05/30/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801097795 | NPI | - | NPPES |
| $$$$$$$$$ | Other | NY | SOCIAL SECURITY NUMBER |
| 02166109 | Medicaid | NY | |
| $$$$$$$$$ | Other | NY | SOCIAL SECURITY NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 048615 (New York) | Primary |
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