| State Dental Arts P.c | |
|
6715 Roosevelt Ave Woodside NY 11377 | |
| (917) 815-5767 | |
| Not Available |
| Full Name | State Dental Arts P.c |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6715 Roosevelt Ave, Woodside, New York |
| Authorized Official Name and Position | Ligia V State (DENTIST) |
| Authorized Official Contact | 9178155767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| State Dental Arts P.c 6715 Roosevelt Ave Woodside NY 11377 Ph: () - | State Dental Arts P.c 6715 Roosevelt Ave Woodside NY 11377 Ph: (917) 815-5767 |
| NPI Number | 1114267283 |
|---|---|
| Provider Enumeration Date | 02/26/2013 |
| Last Update Date | 02/26/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114267283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 052176 (New York) | Primary |
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