| Dazzling Smile Dental Group Pllc | |
|
4402 Francis Lewis Blvd Suite 1c Bayside NY 11361-3041 | |
| (718) 225-7645 | |
| (718) 352-0800 |
| Full Name | Dazzling Smile Dental Group Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4402 Francis Lewis Blvd, Bayside, New York |
| Authorized Official Name and Position | Armin Lalehzari (OWNER) |
| Authorized Official Contact | 7182257645 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dazzling Smile Dental Group Pllc 4402 Francis Lewis Blvd Suite 1c Bayside NY 11361-3041 Ph: () - | Dazzling Smile Dental Group Pllc 4402 Francis Lewis Blvd Suite 1c Bayside NY 11361-3041 Ph: (718) 225-7645 |
| NPI Number | 1225350887 |
|---|---|
| Provider Enumeration Date | 02/24/2010 |
| Last Update Date | 02/24/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225350887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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