| G Dental Pc | |
|
9123 Queens Blvd Elmhurst NY 11373-5531 | |
| (718) 746-7714 | |
| (718) 943-3109 |
| Full Name | G Dental Pc |
|---|---|
| Speciality | Dentist |
| Location | 9123 Queens Blvd, Elmhurst, New York |
| Authorized Official Name and Position | Dmitry Gorbunov (PRESIDENT) |
| Authorized Official Contact | 7187467714 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| G Dental Pc 9123 Queens Blvd Elmhurst NY 11373-5531 Ph: (718) 746-7714 | G Dental Pc 9123 Queens Blvd Elmhurst NY 11373-5531 Ph: (718) 746-7714 |
| NPI Number | 1609024231 |
|---|---|
| Provider Enumeration Date | 09/08/2008 |
| Last Update Date | 09/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609024231 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 043066 (New York) | Primary |
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