| D.r.p. Dental Industries, Inc, | |
|
4071 Denman St Elmhurst NY 11373-1608 | |
| (718) 476-1573 | |
| (718) 478-2485 |
| Full Name | D.r.p. Dental Industries, Inc, |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4071 Denman St, Elmhurst, New York |
| Authorized Official Name and Position | Jose Aristides Roa (PRESIDENT) |
| Authorized Official Contact | 7184761573 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| D.r.p. Dental Industries, Inc, 4071 Denman St Elmhurst NY 11373-1608 Ph: (718) 476-1573 | D.r.p. Dental Industries, Inc, 4071 Denman St Elmhurst NY 11373-1608 Ph: (718) 476-1573 |
| NPI Number | 1679723308 |
|---|---|
| Provider Enumeration Date | 09/30/2008 |
| Last Update Date | 01/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679723308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 044819 (New York) | Primary |
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