Professional Dental Associates Pc | |
3119 Newtown Ave Suite 800 Astoria NY 11102-1350 | |
(718) 728-8844 | |
(718) 728-6795 |
Full Name | Professional Dental Associates Pc |
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Speciality | Dentist - Periodontics |
Location | 3119 Newtown Ave, Astoria, New York |
Authorized Official Name and Position | Bernard G Rupnarain (PRESIDENT) |
Authorized Official Contact | 7187288844 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Professional Dental Associates Pc 3119 Newtown Ave Suite 800 Astoria NY 11102-1350 Ph: (718) 728-8844 | Professional Dental Associates Pc 3119 Newtown Ave Suite 800 Astoria NY 11102-1350 Ph: (718) 728-8844 |
NPI Number | 1306915822 |
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Provider Enumeration Date | 11/07/2006 |
Last Update Date | 09/12/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306915822 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 043622 (New York) | Secondary |
1223P0300X | Dentist - Periodontics | 046368 (New York) | Primary |
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