| Astoria Kool Smile Dental Pc | |
|
3080 21st St 2nd Floor Medical Center Astoria NY 11102-4242 | |
| (718) 873-9550 | |
| (718) 228-4591 |
| Full Name | Astoria Kool Smile Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3080 21st St, Astoria, New York |
| Authorized Official Name and Position | Peggy L Voelpel (DIRECTOR CREDENTIALING & COMPLIANCE) |
| Authorized Official Contact | 3217248398 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Astoria Kool Smile Dental Pc 3080 21st St 2nd Floor Medical Center Astoria NY 11102-4242 Ph: (718) 873-9550 | Astoria Kool Smile Dental Pc 3080 21st St 2nd Floor Medical Center Astoria NY 11102-4242 Ph: (718) 873-9550 |
| NPI Number | 1245528553 |
|---|---|
| Provider Enumeration Date | 07/20/2011 |
| Last Update Date | 07/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245528553 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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