Ideal Dental Implants

NPI 1144639857 - Clinic/Center - 261QD0000X

NPI Details
NPI 1144639857
Enumeration Date 08/06/2014
Last Updated 08/13/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name PANAGIOTIS PANAGIOTIS
Position CEO
Phone (516) 487-6453
Fax
Practice Location
319 WILLIS AVE
MINEOLA NY, 11501-1510, US
Phone (516) 487-6453
Fax
Business Location
319 WILLIS AVE
MINEOLA NY, 11501-1510, US
Phone (516) 487-6453
Fax
Toxanomy
Taxonomy Code 261QD0000X
License State New York
License Number 047563
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According to our database, Ideal Dental Implants NPI is 1144639857, taxonomy code is 261QD0000X and license number is 047563, license state is located at New York. Ideal Dental Implants physically located at 319 Willis Ave, Mineola NY, 11501-1510. NPI Number 1033115704 has the healthcare provider type.

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1144639857 NPI number is provided on an as is basis without warranty of any kind. 1144639857 is maintained by the National Plan & Provider Enumeration System. The contents of Ideal Dental Implants are for informational purposes only.