| Roosevelt Dental Care P.c. | |
|
8215 Roosevelt Ave 2nd Floor Jackson Heights NY 11372-7034 | |
| (718) 205-7709 | |
| (718) 205-7718 |
| Full Name | Roosevelt Dental Care P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8215 Roosevelt Ave, Jackson Heights, New York |
| Authorized Official Name and Position | Ofir Baruk (PRESIDENT) |
| Authorized Official Contact | 7182057709 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roosevelt Dental Care P.c. 8215 Roosevelt Ave 2nd Floor Jackson Heights NY 11372-7034 Ph: (718) 205-7709 | Roosevelt Dental Care P.c. 8215 Roosevelt Ave 2nd Floor Jackson Heights NY 11372-7034 Ph: (718) 205-7709 |
| NPI Number | 1760672927 |
|---|---|
| Provider Enumeration Date | 07/25/2007 |
| Last Update Date | 07/25/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760672927 | NPI | - | NPPES |
| 02834724 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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