| Centro Dental Familiar Pc. | |
|
37 42 90 Street 1st Floor Jackson Heights NY 11372 | |
| (718) 424-5559 | |
| (718) 426-2484 |
| Full Name | Centro Dental Familiar Pc. |
|---|---|
| Speciality | Dentist |
| Location | 37 42 90 Street, Jackson Heights, New York |
| Authorized Official Name and Position | Luz A Filion (DENTIST) |
| Authorized Official Contact | 7184245559 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centro Dental Familiar Pc. 37 42 90 Street 1st Floor Jackson Heights NY 11372 Ph: (718) 424-5559 | Centro Dental Familiar Pc. 37 42 90 Street 1st Floor Jackson Heights NY 11372 Ph: (718) 424-5559 |
| NPI Number | 1467505529 |
|---|---|
| Provider Enumeration Date | 01/19/2007 |
| Last Update Date | 04/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467505529 | NPI | - | NPPES |
| 02849003 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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