| Ruben's Dental, Pllc | |
|
10510 62nd Rd Apt 1f Forest Hills NY 11375-1122 | |
| (718) 760-8400 | |
| (718) 760-8114 |
| Full Name | Ruben's Dental, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10510 62nd Rd Apt 1f, Forest Hills, New York |
| Authorized Official Name and Position | Ruben Fattakhov (DENTIST) |
| Authorized Official Contact | 7187608400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ruben's Dental, Pllc 10510 62nd Rd Apt 1f Forest Hills NY 11375-1122 Ph: (718) 760-8400 | Ruben's Dental, Pllc 10510 62nd Rd Apt 1f Forest Hills NY 11375-1122 Ph: (718) 760-8400 |
| NPI Number | 1720250558 |
|---|---|
| Provider Enumeration Date | 04/01/2008 |
| Last Update Date | 04/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720250558 | NPI | - | NPPES |
| 01709737 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 046847 (New York) | Primary |
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