| Dental 365 | |
|
6645 Grand Ave Maspeth NY 11378-2540 | |
| (718) 533-1616 | |
| Not Available |
| Full Name | Dental 365 |
|---|---|
| Speciality | Dentist |
| Location | 6645 Grand Ave, Maspeth, New York |
| Authorized Official Name and Position | Hiro Soriano (CIO) |
| Authorized Official Contact | 5164260639 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental 365 6645 Grand Ave Maspeth NY 11378-2540 Ph: (718) 533-1616 | Dental 365 6645 Grand Ave Maspeth NY 11378-2540 Ph: (718) 533-1616 |
| NPI Number | 1700329554 |
|---|---|
| Provider Enumeration Date | 11/28/2016 |
| Last Update Date | 11/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700329554 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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