| Into White Dental Arts, Pllc | |
|
4743 Vernon Blvd Ground Floor Long Island City NY 11101-5519 | |
| (718) 361-3050 | |
| Not Available |
| Full Name | Into White Dental Arts, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4743 Vernon Blvd, Long Island City, New York |
| Authorized Official Name and Position | Steven Konstantine Mantinaos (OWNER/DENTIST-PROSTHODONTIST) |
| Authorized Official Contact | 7183613050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Into White Dental Arts, Pllc 4743 Vernon Blvd Ground Floor Long Island City NY 11101-5519 Ph: (718) 361-3050 | Into White Dental Arts, Pllc 4743 Vernon Blvd Ground Floor Long Island City NY 11101-5519 Ph: (718) 361-3050 |
| NPI Number | 1790921062 |
|---|---|
| Provider Enumeration Date | 12/16/2008 |
| Last Update Date | 11/05/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790921062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 5067165 (New York) | Primary |
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