| Kids Dental Village | |
|
3905 61st St 2nd Floor Woodside NY 11377-3566 | |
| (718) 899-5437 | |
| Not Available |
| Full Name | Kids Dental Village |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3905 61st St, Woodside, New York |
| Authorized Official Name and Position | Ali Attaie (FOUNDER/PEDIATRIC DENTIST) |
| Authorized Official Contact | 7188995437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Dental Village 39-05 61st Street 2nd Floor Woodside NY 11377-3566 Ph: (718) 899-5437 | Kids Dental Village 3905 61st St 2nd Floor Woodside NY 11377-3566 Ph: (718) 899-5437 |
| NPI Number | 1023264645 |
|---|---|
| Provider Enumeration Date | 08/14/2008 |
| Last Update Date | 08/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023264645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 052251 (New York) | Primary |
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