| Love My Smile Dental Pc | |
|
9123 Queens Blvd Ste B Elmhurst NY 11373-5531 | |
| (718) 205-2055 | |
| Not Available |
| Full Name | Love My Smile Dental Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9123 Queens Blvd Ste B, Elmhurst, New York |
| Authorized Official Name and Position | Carlos R Acosta (GENERAL DENTIST) |
| Authorized Official Contact | 7182052055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Love My Smile Dental Pc 9123 Queens Blvd Ste B Elmhurst NY 11373-5531 Ph: (718) 205-2055 | Love My Smile Dental Pc 9123 Queens Blvd Ste B Elmhurst NY 11373-5531 Ph: (718) 205-2055 |
| NPI Number | 1033613112 |
|---|---|
| Provider Enumeration Date | 03/22/2018 |
| Last Update Date | 03/22/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033613112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 046220-1 (New York) | Primary |
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