| Dynamic Dental World P.c. | |
|
8961 165th St Jamaica NY 11432-5143 | |
| (718) 657-5656 | |
| (718) 739-0900 |
| Full Name | Dynamic Dental World P.c. |
|---|---|
| Speciality | Dentist |
| Location | 8961 165th St, Jamaica, New York |
| Authorized Official Name and Position | Jennifer Espinal (BILLING DEPARTMENT) |
| Authorized Official Contact | 7187390900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dynamic Dental World P.c. 8961 165th St Jamaica NY 11432-5143 Ph: (718) 657-5656 | Dynamic Dental World P.c. 8961 165th St Jamaica NY 11432-5143 Ph: (718) 657-5656 |
| NPI Number | 1831453182 |
|---|---|
| Provider Enumeration Date | 07/02/2012 |
| Last Update Date | 07/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831453182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 038476-1 (New York) | Secondary |
| 122300000X | Dentist | 046075-1 (New York) | Primary |
| 122300000X | Dentist | 054990-1 (New York) | Secondary |
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