| Vk Dental Care, Pc | |
|
10310 Roosevelt Ave 2nd Floor Corona NY 11368-2330 | |
| (718) 779-2626 | |
| Not Available |
| Full Name | Vk Dental Care, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10310 Roosevelt Ave, Corona, New York |
| Authorized Official Name and Position | Vivek Kashyap (PRESIDENT) |
| Authorized Official Contact | 7187792626 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vk Dental Care, Pc Po Box 1957 New York NY 10159-1957 Ph: (718) 779-2626 | Vk Dental Care, Pc 10310 Roosevelt Ave 2nd Floor Corona NY 11368-2330 Ph: (718) 779-2626 |
| NPI Number | 1528057643 |
|---|---|
| Provider Enumeration Date | 10/20/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528057643 | NPI | - | NPPES |
| 02559020 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 051552 (New York) | Primary |
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