| Roosevelt Dental | |
|
13688 Roosevelt Ave Flushing NY 11354-5510 | |
| (718) 359-4700 | |
| (718) 961-5111 |
| Full Name | Roosevelt Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 13688 Roosevelt Ave, Flushing, New York |
| Authorized Official Name and Position | Ratna Monga (DENTIST) |
| Authorized Official Contact | 7183594700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roosevelt Dental 13688 Roosevelt Ave Flushing NY 11354-5510 Ph: (718) 359-4700 | Roosevelt Dental 13688 Roosevelt Ave Flushing NY 11354-5510 Ph: (718) 359-4700 |
| NPI Number | 1225210941 |
|---|---|
| Provider Enumeration Date | 12/04/2007 |
| Last Update Date | 12/04/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225210941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 053273 (New York) | Primary |
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