| Kool Smiles Dental Pc | |
|
11510 Queens Blvd Ul-6 Forest Hills NY 11375-7015 | |
| (718) 874-6969 | |
| Not Available |
| Full Name | Kool Smiles Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11510 Queens Blvd, Forest Hills, New York |
| Authorized Official Name and Position | Khaim Kalantarov (PRESIDENT) |
| Authorized Official Contact | 7188746969 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kool Smiles Dental Pc 11510 Queens Blvd Ul-6 Forest Hills NY 11375-7015 Ph: (718) 874-6969 | Kool Smiles Dental Pc 11510 Queens Blvd Ul-6 Forest Hills NY 11375-7015 Ph: (718) 874-6969 |
| NPI Number | 1497069470 |
|---|---|
| Provider Enumeration Date | 08/02/2010 |
| Last Update Date | 11/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497069470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 053757 (New York) | Primary |
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