| Dr Walter Maybruch | |
|
14432 68th Rd Flushing NY 11367-1331 | |
| (718) 263-8300 | |
| (718) 263-3690 |
| Full Name | Dr Walter Maybruch |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 14432 68th Rd, Flushing, New York |
| Authorized Official Name and Position | Walter I Mybruch (OWNER) |
| Authorized Official Contact | 7182638300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Walter Maybruch 14432 68th Rd Flushing NY 11367-1331 Ph: (718) 263-8300 | Dr Walter Maybruch 14432 68th Rd Flushing NY 11367-1331 Ph: (718) 263-8300 |
| NPI Number | 1639538903 |
|---|---|
| Provider Enumeration Date | 02/15/2016 |
| Last Update Date | 02/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639538903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 032530 (New York) | Primary |
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