Grand Dental Care Pc

NPI 1053689463 - Dentist - 1223P0700X

NPI Details
NPI 1053689463
Enumeration Date 12/13/2011
Last Updated 03/22/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name FLORA ANGELA FLORA
Position PRESIDENT
Phone (516) 378-1968
Fax (516) 608-9319
Practice Location
2000 GRAND AVE
NORTH BALDWIN NY, 11510-2811, US
Phone (516) 378-1968
Fax (516) 608-9319
Business Location
2000 GRAND AVE
NORTH BALDWIN NY, 11510-2811, US
Phone (516) 378-1968
Fax (516) 608-9319
Toxanomy
Taxonomy Code 1223P0700X
License State New York
License Number 052129
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According to our database, Grand Dental Care Pc NPI is 1053689463, taxonomy code is 1223P0700X and license number is 052129, license state is located at New York. Grand Dental Care Pc physically located at 2000 Grand Ave, North Baldwin NY, 11510-2811. NPI Number 1033115704 has the healthcare provider type.

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1053689463 NPI number is provided on an as is basis without warranty of any kind. 1053689463 is maintained by the National Plan & Provider Enumeration System. The contents of Grand Dental Care Pc are for informational purposes only.