Dental Universe | |
9110 Jamaica Ave Woodhaven NY 11421-2105 | |
(718) 805-4444 | |
(718) 805-4449 |
Full Name | Dental Universe |
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Speciality | Dentist |
Location | 9110 Jamaica Ave, Woodhaven, New York |
Authorized Official Name and Position | Shahin Rahmanian (OWNER) |
Authorized Official Contact | 7188054444 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dental Universe 9110 Jamaica Ave Woodhaven NY 11421-2105 Ph: (718) 805-4444 | Dental Universe 9110 Jamaica Ave Woodhaven NY 11421-2105 Ph: (718) 805-4444 |
NPI Number | 1104147313 |
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Provider Enumeration Date | 06/22/2010 |
Last Update Date | 06/22/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104147313 | NPI | - | NPPES |
02783824 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 052741 (New York) | Primary |
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