| Liliya Etkina Dds Pc | |
|
4528 21st Street Long Island City NY 11101 | |
| (718) 937-7722 | |
| Not Available |
| Full Name | Liliya Etkina Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 4528 21st Street, Long Island City, New York |
| Authorized Official Name and Position | Liliya Etkina (DENTIST/OWNER) |
| Authorized Official Contact | 7189377722 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Liliya Etkina Dds Pc 45-28 21st Street Long Island City NY 11101 Ph: (718) 937-7722 | Liliya Etkina Dds Pc 4528 21st Street Long Island City NY 11101 Ph: (718) 937-7722 |
| NPI Number | 1396281135 |
|---|---|
| Provider Enumeration Date | 01/18/2017 |
| Last Update Date | 01/18/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396281135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | C50603 (New York) | Primary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 057328 (New York) | Secondary |
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