| Angeles And Morales Dental | |
|
1356 Boxwood Dr W Hewlett NY 11557-2207 | |
| (718) 812-6402 | |
| Not Available |
| Full Name | Angeles And Morales Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1356 Boxwood Dr W, Hewlett, New York |
| Authorized Official Name and Position | Brigette Morales (PARTNER) |
| Authorized Official Contact | 7188126402 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Angeles And Morales Dental 1432 Central Avenue Far Rockaway NY 11691 Ph: (718) 471-5543 | Angeles And Morales Dental 1356 Boxwood Dr W Hewlett NY 11557-2207 Ph: (718) 812-6402 |
| NPI Number | 1356880090 |
|---|---|
| Provider Enumeration Date | 02/14/2017 |
| Last Update Date | 02/14/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356880090 | NPI | - | NPPES |
| 1134101652 | Medicaid | NY | |
| 1124246590 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 047307 (New York) | Primary |
| 261QD0000X | Clinic/center - Dental | 047628 (New York) | Secondary |
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