| Lic Dental Associates | |
|
52-02 5th Street Suite B Long Island City NY 11101 | |
| (718) 530-6539 | |
| Not Available |
| Full Name | Lic Dental Associates |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 52-02 5th Street, Long Island City, New York |
| Authorized Official Name and Position | Ishwinder Saran (DENTIST, OWNER) |
| Authorized Official Contact | 7185306539 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lic Dental Associates 52-02 5th Street Suite B Long Island City NY 11101 Ph: (718) 530-6539 | Lic Dental Associates 52-02 5th Street Suite B Long Island City NY 11101 Ph: (718) 530-6539 |
| NPI Number | 1205210556 |
|---|---|
| Provider Enumeration Date | 07/16/2015 |
| Last Update Date | 07/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205210556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | NY057422-1 (New York) | Primary |
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