Queens Family Dental Office Pc

NPI 1902077670 - Dentist - 1223G0001X

NPI Details
NPI 1902077670
Enumeration Date 03/20/2008
Last Updated 03/20/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name PATRIA PATRIA
Position PRESIDENT
Phone (718) 507-9100
Fax (718) 507-7377
Practice Location
9506 ROOSEVELT AVE
JACKSON HEIGHTS NY, 11372-8029, US
Phone (718) 507-9100
Fax (718) 507-7377
Business Location
9506 ROOSEVELT AVE
JACKSON HEIGHTS NY, 11372-8029, US
Phone (718) 507-9100
Fax (718) 507-7377
Toxanomy
Taxonomy Code 1223G0001X
License State New York
License Number 0465601
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According to our database, Queens Family Dental Office Pc NPI is 1902077670, taxonomy code is 1223G0001X and license number is 0465601, license state is located at New York. Queens Family Dental Office Pc physically located at 9506 Roosevelt Ave, Jackson Heights NY, 11372-8029. NPI Number 1033115704 has the healthcare provider type.

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1902077670 NPI number is provided on an as is basis without warranty of any kind. 1902077670 is maintained by the National Plan & Provider Enumeration System. The contents of Queens Family Dental Office Pc are for informational purposes only.