| St Dental | |
|
1432 Hylan Blvd 2nd Floor Staten Island NY 10305-1923 | |
| (973) 479-3352 | |
| Not Available |
| Full Name | St Dental |
|---|---|
| Speciality | Dentist |
| Location | 1432 Hylan Blvd, Staten Island, New York |
| Authorized Official Name and Position | Lana Maryash (OFFICE MGR) |
| Authorized Official Contact | 9734793352 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Dental 596 Anderson Ave Suite 305 Cliffside Park NJ 07010-1831 Ph: (973) 479-3352 | St Dental 1432 Hylan Blvd 2nd Floor Staten Island NY 10305-1923 Ph: (973) 479-3352 |
| NPI Number | 1326204397 |
|---|---|
| Provider Enumeration Date | 07/30/2008 |
| Last Update Date | 07/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326204397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 045359-1 (New York) | Primary |
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