Roosevelt 26 Dentistry P.c.

NPI 1114237518 - Dentist - 1223G0001X

NPI Details
NPI 1114237518
Enumeration Date 10/19/2010
Last Updated 10/19/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name FARAMARZ FARAMARZ
Position OWNER
Phone (718) 779-2626
Fax
Practice Location
103-10 ROOSEVELT AVENUE, 2ND FLR
CORONA NY, 11368, US
Phone (718) 779-2626
Fax
Business Location
10310 ROOSEVELT AVE FL 2
CORONA NY, 11368-2330, US
Phone (718) 779-2626
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
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According to our database, Roosevelt 26 Dentistry P.c. NPI is 1114237518, taxonomy code is 1223G0001X Roosevelt 26 Dentistry P.c. physically located at 103-10 Roosevelt Avenue, 2nd Flr, Corona NY, 11368. NPI Number 1033115704 has the healthcare provider type.

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1114237518 NPI number is provided on an as is basis without warranty of any kind. 1114237518 is maintained by the National Plan & Provider Enumeration System. The contents of Roosevelt 26 Dentistry P.c. are for informational purposes only.