| Austin Dental Care, P.c. | |
|
10210 Queens Blvd Forest Hills NY 11375-3100 | |
| (718) 544-4440 | |
| (718) 233-2723 |
| Full Name | Austin Dental Care, P.c. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 10210 Queens Blvd, Forest Hills, New York |
| Authorized Official Name and Position | David Tabaroki (ORAL SURGEON) |
| Authorized Official Contact | 7185444440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Austin Dental Care, P.c. 10210 Queens Blvd Forest Hills NY 11375-3100 Ph: (718) 544-4440 | Austin Dental Care, P.c. 10210 Queens Blvd Forest Hills NY 11375-3100 Ph: (718) 544-4440 |
| NPI Number | 1831402536 |
|---|---|
| Provider Enumeration Date | 07/22/2010 |
| Last Update Date | 07/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831402536 | NPI | - | NPPES |
| 1598908220 | Medicaid | NY | |
| 1487727319 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 047690 (New York) | Primary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 052330 (New York) | Secondary |
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