| Blaise Guzzardo Dds Pc | |
|
94-71 217th St Queens Village NY 11428 | |
| (718) 464-4442 | |
| (718) 464-4509 |
| Full Name | Blaise Guzzardo Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 94-71 217th St, Queens Village, New York |
| Authorized Official Name and Position | Blaise Anthony Guzzardo (PRESIDENT) |
| Authorized Official Contact | 7184644442 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blaise Guzzardo Dds Pc 94-71 217th St Queens Village NY 11428 Ph: (718) 464-4442 | Blaise Guzzardo Dds Pc 94-71 217th St Queens Village NY 11428 Ph: (718) 464-4442 |
| NPI Number | 1740384874 |
|---|---|
| Provider Enumeration Date | 09/11/2006 |
| Last Update Date | 10/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740384874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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