| Elite Dental | |
|
9819 64th Ave Apt 1h Rego Park NY 11374-2525 | |
| (718) 897-9745 | |
| Not Available |
| Full Name | Elite Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9819 64th Ave Apt 1h, Rego Park, New York |
| Authorized Official Name and Position | Rafael Isakharov (SOLE PROPRIETOR) |
| Authorized Official Contact | 7188979745 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Dental 9819 64th Ave Apt 1h Rego Park NY 11374-2525 Ph: () - | Elite Dental 9819 64th Ave Apt 1h Rego Park NY 11374-2525 Ph: (718) 897-9745 |
| NPI Number | 1295990422 |
|---|---|
| Provider Enumeration Date | 07/28/2008 |
| Last Update Date | 07/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295990422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 049803 (New York) | Primary |
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