| Lucky Dental Pc | |
|
6555 Woodhaven Blvd Rego Park NY 11374-5048 | |
| (917) 834-2219 | |
| (914) 428-6537 |
| Full Name | Lucky Dental Pc |
|---|---|
| Speciality | Dentist |
| Location | 6555 Woodhaven Blvd, Rego Park, New York |
| Authorized Official Name and Position | Aleksandr Azbel (OWNER) |
| Authorized Official Contact | 9178342219 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lucky Dental Pc 6555 Woodhaven Blvd Rego Park NY 11374-5048 Ph: (917) 834-2219 | Lucky Dental Pc 6555 Woodhaven Blvd Rego Park NY 11374-5048 Ph: (917) 834-2219 |
| NPI Number | 1821225822 |
|---|---|
| Provider Enumeration Date | 06/17/2009 |
| Last Update Date | 06/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821225822 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 046043-1 (New York) | Primary |
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