| Complete Smiles Dental Pc | |
|
6574 Saunders St Apt 3e Rego Park NY 11374-4240 | |
| (646) 637-6997 | |
| Not Available |
| Full Name | Complete Smiles Dental Pc |
|---|---|
| Speciality | Dentist |
| Location | 6574 Saunders St Apt 3e, Rego Park, New York |
| Authorized Official Name and Position | Albert Ilyayev (PRESIDENT) |
| Authorized Official Contact | 6466376997 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Complete Smiles Dental Pc 7050 Austin St Ste Ll124a Forest Hills NY 11375-4774 Ph: () - | Complete Smiles Dental Pc 6574 Saunders St Apt 3e Rego Park NY 11374-4240 Ph: (646) 637-6997 |
| NPI Number | 1497161053 |
|---|---|
| Provider Enumeration Date | 07/03/2014 |
| Last Update Date | 07/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497161053 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 056803 (New York) | Primary |
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