| Simply Smile Dental Pc | |
|
6222 Myrtle Ave Glendale NY 11385-6236 | |
| (718) 821-7432 | |
| Not Available |
| Full Name | Simply Smile Dental Pc |
|---|---|
| Speciality | Dentist |
| Location | 6222 Myrtle Ave, Glendale, New York |
| Authorized Official Name and Position | Juan Carlos Portela (PRESIDENT) |
| Authorized Official Contact | 3479247736 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Simply Smile Dental Pc 4545 Center Blvd Apt 2908 Long Island City NY 11109-5960 Ph: (347) 924-7736 | Simply Smile Dental Pc 6222 Myrtle Ave Glendale NY 11385-6236 Ph: (718) 821-7432 |
| NPI Number | 1295194363 |
|---|---|
| Provider Enumeration Date | 02/18/2016 |
| Last Update Date | 02/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295194363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 053665 (New York) | Primary |
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