Dental Fairy Pc | |
9830 67th Ave Ste Dd Rego Park NY 11374-4944 | |
(718) 459-1040 | |
Not Available |
Full Name | Dental Fairy Pc |
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Speciality | Clinic/center - Dental |
Location | 9830 67th Ave Ste Dd, Rego Park, New York |
Authorized Official Name and Position | Isabel Yuabov (PRESIDENT) |
Authorized Official Contact | 3473576787 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dental Fairy Pc 9830 67th Ave Ste Dd Rego Park NY 11374-4944 Ph: () - | Dental Fairy Pc 9830 67th Ave Ste Dd Rego Park NY 11374-4944 Ph: (718) 459-1040 |
NPI Number | 1144914326 |
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Provider Enumeration Date | 06/08/2023 |
Last Update Date | 06/08/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144914326 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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