| Midtown Dental Design | |
|
15043 14th Ave Ste C Whitestone NY 11357-1817 | |
| (212) 572-9800 | |
| (347) 436-9569 |
| Full Name | Midtown Dental Design |
|---|---|
| Speciality | Dentist |
| Location | 15043 14th Ave, Whitestone, New York |
| Authorized Official Name and Position | Andrea Shivrattan (OFFICE MANAGER) |
| Authorized Official Contact | 3475795159 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midtown Dental Design 15043 14th Ave Ste C Whitestone NY 11357-1817 Ph: (212) 572-9800 | Midtown Dental Design 15043 14th Ave Ste C Whitestone NY 11357-1817 Ph: (212) 572-9800 |
| NPI Number | 1053788380 |
|---|---|
| Provider Enumeration Date | 08/21/2015 |
| Last Update Date | 08/21/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053788380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 051604-1 (New York) | Primary |
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