| Bayside Family Dental, P.c. | |
|
21333 39th Ave Suite 302 Bayside NY 11361-2091 | |
| (718) 423-2626 | |
| Not Available |
| Full Name | Bayside Family Dental, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 21333 39th Ave, Bayside, New York |
| Authorized Official Name and Position | Lev Kandov (OWNER) |
| Authorized Official Contact | 7184232626 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bayside Family Dental, P.c. 21333 39th Ave Suite 302 Bayside NY 11361-2091 Ph: (718) 423-2626 | Bayside Family Dental, P.c. 21333 39th Ave Suite 302 Bayside NY 11361-2091 Ph: (718) 423-2626 |
| NPI Number | 1114323730 |
|---|---|
| Provider Enumeration Date | 11/10/2014 |
| Last Update Date | 11/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114323730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 055553 (New York) | Primary |
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