| Queens Center Dental Pc | |
|
90-15 Queens Blvd Elmhurst NY 11373 | |
| (718) 760-1616 | |
| (718) 760-9641 |
| Full Name | Queens Center Dental Pc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 90-15 Queens Blvd, Elmhurst, New York |
| Authorized Official Name and Position | Alexander Mikhaliou (PRESIDENT) |
| Authorized Official Contact | 7187601616 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Queens Center Dental Pc 90-15 Queens Blvd Elmhurst NY 11373 Ph: (718) 760-1616 | Queens Center Dental Pc 90-15 Queens Blvd Elmhurst NY 11373 Ph: (718) 760-1616 |
| NPI Number | 1093723082 |
|---|---|
| Provider Enumeration Date | 08/04/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093723082 | NPI | - | NPPES |
| 02663298 | Medicaid | NY |
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