| Bayside Dental Arts | |
|
21307 Northern Blvd Bayside NY 11361-3343 | |
| (917) 960-9196 | |
| Not Available |
| Full Name | Bayside Dental Arts |
|---|---|
| Speciality | Dentist |
| Location | 21307 Northern Blvd, Bayside, New York |
| Authorized Official Name and Position | Andrey Ilyabayev (OWNER) |
| Authorized Official Contact | 9176924374 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bayside Dental Arts 21307 Northern Blvd Bayside NY 11361-3343 Ph: (917) 960-9196 | Bayside Dental Arts 21307 Northern Blvd Bayside NY 11361-3343 Ph: (917) 960-9196 |
| NPI Number | 1538858659 |
|---|---|
| Provider Enumeration Date | 05/04/2023 |
| Last Update Date | 05/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538858659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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