| Park Dental Care, Pc | |
|
9101 63rd Dr Rego Park NY 11374-3849 | |
| (718) 565-5445 | |
| (718) 565-0952 |
| Full Name | Park Dental Care, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9101 63rd Dr, Rego Park, New York |
| Authorized Official Name and Position | Oleg P Klempner (PRESIDENT) |
| Authorized Official Contact | 7185655445 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Dental Care, Pc 9101 63rd Dr Rego Park NY 11374-3849 Ph: (718) 565-5445 | Park Dental Care, Pc 9101 63rd Dr Rego Park NY 11374-3849 Ph: (718) 565-5445 |
| NPI Number | 1841289170 |
|---|---|
| Provider Enumeration Date | 10/19/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841289170 | NPI | - | NPPES |
| 01380441 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 044129-1 (New York) | Primary |
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