Sunnyside Dental, Pc | |
4701 Queens Blvd Suite 202 Sunnyside NY 11104-1600 | |
(718) 706-1717 | |
(718) 706-7477 |
Full Name | Sunnyside Dental, Pc |
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Speciality | Clinic/center - Dental |
Location | 4701 Queens Blvd, Sunnyside, New York |
Authorized Official Name and Position | Tatyana Yapport (PRESIDENT) |
Authorized Official Contact | 7187061717 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Sunnyside Dental, Pc 4701 Queens Blvd Suite 202 Sunnyside NY 11104-1600 Ph: (718) 706-1717 | Sunnyside Dental, Pc 4701 Queens Blvd Suite 202 Sunnyside NY 11104-1600 Ph: (718) 706-1717 |
NPI Number | 1568505360 |
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Provider Enumeration Date | 02/14/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568505360 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 045521 (New York) | Primary |
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