| Village Green Dental Pc | |
|
337 Hampton Grn Staten Island NY 10312-1722 | |
| (718) 948-0870 | |
| Not Available |
| Full Name | Village Green Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 337 Hampton Grn, Staten Island, New York |
| Authorized Official Name and Position | Valery Dubovikov (DDS) |
| Authorized Official Contact | 7189480870 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Village Green Dental Pc 337 Hampton Grn Staten Island NY 10312-1722 Ph: () - | Village Green Dental Pc 337 Hampton Grn Staten Island NY 10312-1722 Ph: (718) 948-0870 |
| NPI Number | 1003100124 |
|---|---|
| Provider Enumeration Date | 06/06/2011 |
| Last Update Date | 06/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003100124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0389861 (New York) | Primary |
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