| Centro Dental Familiar | |
|
3742 90th St First Floorr Jackson Hts NY 11372-7830 | |
| (718) 424-5559 | |
| (718) 426-2484 |
| Full Name | Centro Dental Familiar |
|---|---|
| Speciality | Dentist |
| Location | 3742 90th St, Jackson Hts, New York |
| Authorized Official Name and Position | Luz A Filion (OWNER) |
| Authorized Official Contact | 7185337333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centro Dental Familiar 3742 90th St First Floorr Jackson Hts NY 11372-7830 Ph: (718) 424-5559 | Centro Dental Familiar 3742 90th St First Floorr Jackson Hts NY 11372-7830 Ph: (718) 424-5559 |
| NPI Number | 1124018700 |
|---|---|
| Provider Enumeration Date | 10/25/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124018700 | NPI | - | NPPES |
| 01471503 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 045091 (New York) | Primary |
Kids Care Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3315 Junction Blvd Ste A, Jackson Hts, NY 11372 Phone: 347-634-0224 |