| Tina Malakova Dental Services P.c. | |
|
9123 Queens Blvd Ste B Elmhurst NY 11373-5559 | |
| (718) 205-2055 | |
| (718) 205-2355 |
| Full Name | Tina Malakova Dental Services P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9123 Queens Blvd Ste B, Elmhurst, New York |
| Authorized Official Name and Position | Alevtina Malakova (DENTIST OWNER) |
| Authorized Official Contact | 7187444811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tina Malakova Dental Services P.c. 10025 Queens Blvd Apt 5s Forest Hills NY 11375-2460 Ph: (718) 500-4560 | Tina Malakova Dental Services P.c. 9123 Queens Blvd Ste B Elmhurst NY 11373-5559 Ph: (718) 205-2055 |
| NPI Number | 1194360271 |
|---|---|
| Provider Enumeration Date | 11/12/2019 |
| Last Update Date | 11/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194360271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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