| Healthy Dental Practice Pc | |
|
16814 77th Rd Fresh Meadows NY 11366-1335 | |
| (917) 498-5545 | |
| Not Available |
| Full Name | Healthy Dental Practice Pc |
|---|---|
| Speciality | Dentist |
| Location | 16814 77th Rd, Fresh Meadows, New York |
| Authorized Official Name and Position | Artur Bababekov (DENTIST) |
| Authorized Official Contact | 9174985545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Dental Practice Pc 16814 77th Rd Fresh Meadows NY 11366-1335 Ph: (917) 498-5545 | Healthy Dental Practice Pc 16814 77th Rd Fresh Meadows NY 11366-1335 Ph: (917) 498-5545 |
| NPI Number | 1487024089 |
|---|---|
| Provider Enumeration Date | 09/25/2015 |
| Last Update Date | 09/25/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487024089 | NPI | - | NPPES |
| 04055730 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 057324 (New York) | Primary |
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