| Austin Dental Plus | |
|
11074 Queens Blvd Forest Hills NY 11375-6345 | |
| (917) 494-6657 | |
| Not Available |
| Full Name | Austin Dental Plus |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11074 Queens Blvd, Forest Hills, New York |
| Authorized Official Name and Position | Sylvester A Evangelista (D.D.S.) |
| Authorized Official Contact | 9174946657 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Austin Dental Plus 2857 209th Pl Bayside NY 11360-2424 Ph: () - | Austin Dental Plus 11074 Queens Blvd Forest Hills NY 11375-6345 Ph: (917) 494-6657 |
| NPI Number | 1598168338 |
|---|---|
| Provider Enumeration Date | 10/08/2014 |
| Last Update Date | 10/08/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598168338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 48294 (New York) | Primary |
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