| Gil Dechavez Dds Pc | |
|
8812 55th Ave Elmhurst NY 11373-4437 | |
| (718) 271-6148 | |
| (718) 271-6164 |
| Full Name | Gil Dechavez Dds Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8812 55th Ave, Elmhurst, New York |
| Authorized Official Name and Position | Margarita R Lozano (OFFICE MANAGER) |
| Authorized Official Contact | 7182716148 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gil Dechavez Dds Pc 8812 55th Ave Elmhurst NY 11373-4437 Ph: (718) 271-6148 | Gil Dechavez Dds Pc 8812 55th Ave Elmhurst NY 11373-4437 Ph: (718) 271-6148 |
| NPI Number | 1588135826 |
|---|---|
| Provider Enumeration Date | 12/16/2018 |
| Last Update Date | 12/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588135826 | NPI | - | NPPES |
| 1596158347 | Other | NY | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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