| Family Choice Dental Care P.c. | |
|
6622 Fresh Pond Rd Ridgewood NY 11385-3305 | |
| (718) 576-3371 | |
| (718) 576-3381 |
| Full Name | Family Choice Dental Care P.c. |
|---|---|
| Speciality | Dentist |
| Location | 6622 Fresh Pond Rd, Ridgewood, New York |
| Authorized Official Name and Position | Samih A Attia (PRESIDENT) |
| Authorized Official Contact | 7185763371 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Choice Dental Care P.c. 6622 Fresh Pond Rd Ridgewood NY 11385-3305 Ph: (718) 576-3371 | Family Choice Dental Care P.c. 6622 Fresh Pond Rd Ridgewood NY 11385-3305 Ph: (718) 576-3371 |
| NPI Number | 1639448327 |
|---|---|
| Provider Enumeration Date | 12/25/2011 |
| Last Update Date | 12/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639448327 | NPI | - | NPPES |
| 0239086 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 046932 (New York) | Primary |
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