Queens Periodontal Associates Llc | |
9354 Queens Blvd Rego Park NY 11374-1149 | |
(718) 275-6262 | |
(718) 275-6338 |
Full Name | Queens Periodontal Associates Llc |
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Speciality | Dentist - Periodontics |
Location | 9354 Queens Blvd, Rego Park, New York |
Authorized Official Name and Position | Brian Chadroff (OWNER) |
Authorized Official Contact | 7182756262 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Queens Periodontal Associates Llc 9354 Queens Blvd Rego Park NY 11374-1149 Ph: (718) 275-6262 | Queens Periodontal Associates Llc 9354 Queens Blvd Rego Park NY 11374-1149 Ph: (718) 275-6262 |
NPI Number | 1811130750 |
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Provider Enumeration Date | 04/08/2009 |
Last Update Date | 04/08/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811130750 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0300X | Dentist - Periodontics | 040050 (New York) | Primary |
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