| Dental Care Of Ridgewood, P.c. | |
|
5647 Myrtle Ave Ridgewood NY 11385-4744 | |
| (718) 417-6300 | |
| (718) 417-3535 |
| Full Name | Dental Care Of Ridgewood, P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5647 Myrtle Ave, Ridgewood, New York |
| Authorized Official Name and Position | Mariya Mamkin (RESPONSIBLE PARTY) |
| Authorized Official Contact | 7184176300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Care Of Ridgewood, P.c. 5647 Myrtle Ave Ridgewood NY 11385-4744 Ph: (718) 417-6300 | Dental Care Of Ridgewood, P.c. 5647 Myrtle Ave Ridgewood NY 11385-4744 Ph: (718) 417-6300 |
| NPI Number | 1578701835 |
|---|---|
| Provider Enumeration Date | 01/25/2009 |
| Last Update Date | 01/25/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578701835 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 054039 (New York) | Primary |
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