| Elida Dental Care Pc | |
|
9442 59th Ave Elmhurst NY 11373-5151 | |
| (917) 750-8221 | |
| (718) 699-1300 |
| Full Name | Elida Dental Care Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9442 59th Ave, Elmhurst, New York |
| Authorized Official Name and Position | David S Gavlin (DENTIST/OWNER) |
| Authorized Official Contact | 9177508221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elida Dental Care Pc 9442 59th Ave Elmhurst NY 11373-5151 Ph: (917) 750-8221 | Elida Dental Care Pc 9442 59th Ave Elmhurst NY 11373-5151 Ph: (917) 750-8221 |
| NPI Number | 1679934970 |
|---|---|
| Provider Enumeration Date | 03/14/2016 |
| Last Update Date | 07/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679934970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 048412 (New York) | Primary |
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