| Ra Dental Care Pc | |
|
7002 Forest Ave Apt 1l Ridgewood NY 11385-5620 | |
| (718) 821-4128 | |
| Not Available |
| Full Name | Ra Dental Care Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7002 Forest Ave Apt 1l, Ridgewood, New York |
| Authorized Official Name and Position | Roman L Akilov (PRESIDENT) |
| Authorized Official Contact | 9175330043 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ra Dental Care Pc 7002 Forest Ave Apt 1l Ridgewood NY 11385-5620 Ph: (718) 821-4128 | Ra Dental Care Pc 7002 Forest Ave Apt 1l Ridgewood NY 11385-5620 Ph: (718) 821-4128 |
| NPI Number | 1811739832 |
|---|---|
| Provider Enumeration Date | 06/10/2024 |
| Last Update Date | 06/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811739832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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