| Grace Dental Studio, Llc | |
|
6741 Myrtle Ave Glendale NY 11385-7063 | |
| (718) 578-1126 | |
| Not Available |
| Full Name | Grace Dental Studio, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6741 Myrtle Ave, Glendale, New York |
| Authorized Official Name and Position | Grace Han (MEMBER) |
| Authorized Official Contact | 7185781126 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Dental Studio, Llc 6741 Myrtle Ave Glendale NY 11385-7063 Ph: () - | Grace Dental Studio, Llc 6741 Myrtle Ave Glendale NY 11385-7063 Ph: (718) 578-1126 |
| NPI Number | 1497912372 |
|---|---|
| Provider Enumeration Date | 05/19/2008 |
| Last Update Date | 05/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497912372 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 052066 (New York) | Primary |
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