| Blvd Dental Center | |
|
4221 Francis Lewis Blvd Bayside NY 11361-2573 | |
| (718) 279-8202 | |
| (718) 279-8205 |
| Full Name | Blvd Dental Center |
|---|---|
| Speciality | Dentist |
| Location | 4221 Francis Lewis Blvd, Bayside, New York |
| Authorized Official Name and Position | Christopher George Mihalios (OWNER) |
| Authorized Official Contact | 7182798202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blvd Dental Center 4221 Francis Lewis Blvd Bayside NY 11361-2573 Ph: (718) 279-8202 | Blvd Dental Center 4221 Francis Lewis Blvd Bayside NY 11361-2573 Ph: (718) 279-8202 |
| NPI Number | 1255670196 |
|---|---|
| Provider Enumeration Date | 02/13/2013 |
| Last Update Date | 02/13/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255670196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 052418-1 (New York) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | 0557791 (New York) | Secondary |
Vered Maslavi, Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4505 Francis Lewis Blvd, Bayside, NY 11361 Phone: 718-279-0900 Fax: 718-279-0929 | |
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