| Nyc Smiling Dentist, Pllc | |
|
4104 27th St Lowr Level Long Island City NY 11101-4949 | |
| (718) 937-2773 | |
| Not Available |
| Full Name | Nyc Smiling Dentist, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4104 27th St Lowr Level, Long Island City, New York |
| Authorized Official Name and Position | Shawn Salehezadeh (DOCTOR/OWNER) |
| Authorized Official Contact | 7189372773 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nyc Smiling Dentist, Pllc 4104 27th St Lowr Level Long Island City NY 11101-4949 Ph: (718) 937-2773 | Nyc Smiling Dentist, Pllc 4104 27th St Lowr Level Long Island City NY 11101-4949 Ph: (718) 937-2773 |
| NPI Number | 1831703115 |
|---|---|
| Provider Enumeration Date | 09/03/2020 |
| Last Update Date | 09/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831703115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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