| Whitestone Oral & Maxillofacial Surgery, Llc | |
|
150-43c 14th Avenue Whitestone NY 11357 | |
| (718) 747-7899 | |
| (347) 436-9569 |
| Full Name | Whitestone Oral & Maxillofacial Surgery, Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 150-43c 14th Avenue, Whitestone, New York |
| Authorized Official Name and Position | Arian Sadeghi (SURGEON) |
| Authorized Official Contact | 3475795159 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Whitestone Oral & Maxillofacial Surgery, Llc 150-43c 14th Avenue Whitestone NY 11357 Ph: (718) 747-7899 | Whitestone Oral & Maxillofacial Surgery, Llc 150-43c 14th Avenue Whitestone NY 11357 Ph: (718) 747-7899 |
| NPI Number | 1629488267 |
|---|---|
| Provider Enumeration Date | 05/05/2014 |
| Last Update Date | 05/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629488267 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 051861 (New York) | Primary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 053277 (New York) | Secondary |
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