X Collado Dental Center

NPI 1649506353 - Dentist - 1223G0001X

NPI Details
NPI 1649506353
Enumeration Date 10/30/2009
Last Updated 10/30/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name JUANA X JUANA
Position X COLLADO DENTAL CENTER
Phone (718) 323-1288
Fax (718) 323-0291
Practice Location
10105 77TH ST
OZONE PARK NY, 11416-1904, US
Phone (718) 323-1288
Fax (718) 323-0291
Business Location
10105 77TH ST
OZONE PARK NY, 11416-1904, US
Phone (718) 323-1288
Fax (718) 323-0291
Toxanomy
Taxonomy Code 1223G0001X
License State New York
License Number 045798-1
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According to our database, X Collado Dental Center NPI is 1649506353, taxonomy code is 1223G0001X and license number is 045798-1, license state is located at New York. X Collado Dental Center physically located at 10105 77th St, Ozone Park NY, 11416-1904. NPI Number 1033115704 has the healthcare provider type.

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1649506353 NPI number is provided on an as is basis without warranty of any kind. 1649506353 is maintained by the National Plan & Provider Enumeration System. The contents of X Collado Dental Center are for informational purposes only.