| Guru Dental P.c. | |
|
4042 82nd St Guru Dentalpc 3rd Floor Elmhurst NY 11373-1305 | |
| (718) 457-9000 | |
| (718) 457-9000 |
| Full Name | Guru Dental P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4042 82nd St Guru Dentalpc, Elmhurst, New York |
| Authorized Official Name and Position | Harjot Kaur (OWNER) |
| Authorized Official Contact | 7184579000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Guru Dental P.c. 4042 82nd St 3rd Floor Elmhurst NY 11373-1305 Ph: (718) 457-9000 | Guru Dental P.c. 4042 82nd St Guru Dentalpc 3rd Floor Elmhurst NY 11373-1305 Ph: (718) 457-9000 |
| NPI Number | 1265620975 |
|---|---|
| Provider Enumeration Date | 10/09/2007 |
| Last Update Date | 10/27/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265620975 | NPI | - | NPPES |
| 02809983 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 052310-1 (New York) | Secondary |
| 1223G0001X | Dentist - General Practice | 052310-1 (New York) | Primary |
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