Grace Dental Studio, Llc

NPI 1497912372 - Clinic/Center - 261QD0000X

NPI Details
NPI 1497912372
Enumeration Date 05/19/2008
Last Updated 05/19/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name GRACE GRACE
Position MEMBER
Phone (718) 578-1126
Fax
Practice Location
6741 MYRTLE AVE
GLENDALE NY, 11385-7063, US
Phone (718) 578-1126
Fax
Business Location
6741 MYRTLE AVE
GLENDALE NY, 11385-7063, US
Phone
Fax
Toxanomy
Taxonomy Code 261QD0000X
License State New York
License Number 052066
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According to our database, Grace Dental Studio, Llc NPI is 1497912372, taxonomy code is 261QD0000X and license number is 052066, license state is located at New York. Grace Dental Studio, Llc physically located at 6741 Myrtle Ave, Glendale NY, 11385-7063. NPI Number 1033115704 has the healthcare provider type.

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1497912372 NPI number is provided on an as is basis without warranty of any kind. 1497912372 is maintained by the National Plan & Provider Enumeration System. The contents of Grace Dental Studio, Llc are for informational purposes only.