| Ash Estafan Dds P.c. | |
|
14 Vanderventer Ave Ste 215 Port Washington NY 11050-3777 | |
| (516) 883-6199 | |
| Not Available |
| Full Name | Ash Estafan Dds P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 14 Vanderventer Ave Ste 215, Port Washington, New York |
| Authorized Official Name and Position | Ashraf M Estafan (PRESIDENT) |
| Authorized Official Contact | 5168836199 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ash Estafan Dds P.c. 14 Vanderventer Ave Ste 215 Port Washington NY 11050-3777 Ph: (516) 883-6199 | Ash Estafan Dds P.c. 14 Vanderventer Ave Ste 215 Port Washington NY 11050-3777 Ph: (516) 883-6199 |
| NPI Number | 1558702092 |
|---|---|
| Provider Enumeration Date | 07/12/2013 |
| Last Update Date | 07/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558702092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 049384 (New York) | Primary |
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