| City Dental Care Jamaica P.c. | |
|
89-50, 164th Str Suite - 2a Jamaica NY 11432 | |
| (718) 658-4050 | |
| (718) 658-8910 |
| Full Name | City Dental Care Jamaica P.c. |
|---|---|
| Speciality | Dentist |
| Location | 89-50, 164th Str, Jamaica, New York |
| Authorized Official Name and Position | Mohammad Waduduzzaman Bhuyan (OWNER / PRESIDENT) |
| Authorized Official Contact | 7186584050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| City Dental Care Jamaica P.c. 89-50, 164th Str Ste #2a Jamaica NY 11432 Ph: (718) 658-4050 | City Dental Care Jamaica P.c. 89-50, 164th Str Suite - 2a Jamaica NY 11432 Ph: (718) 658-4050 |
| NPI Number | 1952655854 |
|---|---|
| Provider Enumeration Date | 10/31/2012 |
| Last Update Date | 10/31/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952655854 | NPI | - | NPPES |
| 00722770 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 036853 (New York) | Primary |
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