| Queens Dental Pc | |
|
85 Doughty Blvd Inwood NY 11096-2001 | |
| (516) 239-3283 | |
| (516) 371-0390 |
| Full Name | Queens Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 85 Doughty Blvd, Inwood, New York |
| Authorized Official Name and Position | Ericka Mayorga (MANAGER) |
| Authorized Official Contact | 3476772110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Queens Dental Pc 85 Doughty Blvd Inwood NY 11096-2001 Ph: (516) 239-3283 | Queens Dental Pc 85 Doughty Blvd Inwood NY 11096-2001 Ph: (516) 239-3283 |
| NPI Number | 1609261320 |
|---|---|
| Provider Enumeration Date | 03/31/2015 |
| Last Update Date | 03/31/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609261320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0506501 (New York) | Primary |
Inwood Dental Care Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 85 Doughty Blvd, Inwood, NY 11096 Phone: 516-239-3283 Fax: 516-239-1755 | |
Inwood Family Dentistry Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 85 Doughty Blvd, Inwood, NY 11096 Phone: 516-239-3283 |