| Dynasty Dental Care | |
|
10857 64th Ave Ste 1 Forest Hills NY 11375-1442 | |
| (718) 830-6263 | |
| Not Available |
| Full Name | Dynasty Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 10857 64th Ave Ste 1, Forest Hills, New York |
| Authorized Official Name and Position | Alexander Borukhov (OWNER) |
| Authorized Official Contact | 7188306263 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dynasty Dental Care 10857 64th Ave Ste 1 Forest Hills NY 11375-1442 Ph: (718) 830-6263 | Dynasty Dental Care 10857 64th Ave Ste 1 Forest Hills NY 11375-1442 Ph: (718) 830-6263 |
| NPI Number | 1215196944 |
|---|---|
| Provider Enumeration Date | 06/06/2008 |
| Last Update Date | 06/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215196944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 048512 (New York) | Primary |
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