| Tcn Dental Care P.c. | |
|
16110 Jamaica Ave Suite 313 Jamaica NY 11432-6149 | |
| (718) 523-8400 | |
| (718) 523-0565 |
| Full Name | Tcn Dental Care P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 16110 Jamaica Ave, Jamaica, New York |
| Authorized Official Name and Position | Edward Shalomov (DENTIST/PRESIDENT) |
| Authorized Official Contact | 7185238400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tcn Dental Care P.c. 16110 Jamaica Ave Suite 313 Jamaica NY 11432-6149 Ph: (718) 523-8400 | Tcn Dental Care P.c. 16110 Jamaica Ave Suite 313 Jamaica NY 11432-6149 Ph: (718) 523-8400 |
| NPI Number | 1649573197 |
|---|---|
| Provider Enumeration Date | 12/06/2010 |
| Last Update Date | 12/06/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649573197 | NPI | - | NPPES |
| 1699921437 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 054092 (New York) | Primary |
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