| United Dental Group | |
|
24825 Northern Blvd Ste 2j Little Neck NY 11362-1280 | |
| (718) 279-0007 | |
| (718) 340-3804 |
| Full Name | United Dental Group |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 24825 Northern Blvd Ste 2j, Little Neck, New York |
| Authorized Official Name and Position | George Xenakis (OWNER) |
| Authorized Official Contact | 2126430927 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| United Dental Group 24825 Northern Blvd Ste 2j Little Neck NY 11362-1280 Ph: (718) 279-0007 | United Dental Group 24825 Northern Blvd Ste 2j Little Neck NY 11362-1280 Ph: (718) 279-0007 |
| NPI Number | 1699128264 |
|---|---|
| Provider Enumeration Date | 07/19/2016 |
| Last Update Date | 07/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699128264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 042180 (New York) | Primary |
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