| Victoria Dental Pllc | |
|
3118 Steinway St Astoria NY 11103-3909 | |
| (718) 728-7812 | |
| Not Available |
| Full Name | Victoria Dental Pllc |
|---|---|
| Speciality | Dentist |
| Location | 3118 Steinway St, Astoria, New York |
| Authorized Official Name and Position | Robert Fatakhov (DENTIST/MEMBER) |
| Authorized Official Contact | 9172914232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Victoria Dental Pllc 9945 65th Rd Rego Park NY 11374-3654 Ph: () - | Victoria Dental Pllc 3118 Steinway St Astoria NY 11103-3909 Ph: (718) 728-7812 |
| NPI Number | 1689972473 |
|---|---|
| Provider Enumeration Date | 03/03/2011 |
| Last Update Date | 03/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689972473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 054434 (New York) | Primary |
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