Forest Dental Smile Pc | |
6913 Forest Ave Ridgewood NY 11385-4457 | |
(718) 417-8453 | |
(718) 417-1739 |
Full Name | Forest Dental Smile Pc |
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Speciality | Dentist - General Practice |
Location | 6913 Forest Ave, Ridgewood, New York |
Authorized Official Name and Position | Joanna Kowalewski (DENTIST) |
Authorized Official Contact | 7184178453 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Forest Dental Smile Pc 6913 Forest Ave Ridgewood NY 11385-4457 Ph: (718) 417-8453 | Forest Dental Smile Pc 6913 Forest Ave Ridgewood NY 11385-4457 Ph: (718) 417-8453 |
NPI Number | 1154765287 |
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Provider Enumeration Date | 04/19/2013 |
Last Update Date | 04/24/2013 |
Identifier | Type | State | Issuer |
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1154765287 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 046206 (New York) | Primary |
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