| Smile For Life Dental, P.c. | |
|
918 Cypress Ave Ridgewood NY 11385-5339 | |
| (718) 417-6453 | |
| (718) 366-3300 |
| Full Name | Smile For Life Dental, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 918 Cypress Ave, Ridgewood, New York |
| Authorized Official Name and Position | Tuvia Zinman (PRESIDENT/DENTIST) |
| Authorized Official Contact | 7184176453 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile For Life Dental, P.c. 918 Cypress Ave Ridgewood NY 11385-5339 Ph: (718) 417-6453 | Smile For Life Dental, P.c. 918 Cypress Ave Ridgewood NY 11385-5339 Ph: (718) 417-6453 |
| NPI Number | 1235407727 |
|---|---|
| Provider Enumeration Date | 12/12/2011 |
| Last Update Date | 12/12/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235407727 | NPI | - | NPPES |
| 02829394 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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