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Organization
LOVE MY SMILE DENTAL PC
Active
Organization
LOVE MY SMILE DENTAL PC
Active
Other names
Love My Smile Dental PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS R ACOSTA (GENERAL DENTIST)
(718) 205-2055
Entity
Organization
Contact information
Practice address
9123 QUEENS BLVD STE B, ELMHURST, NY 11373-5531
(718) 205-2055
Mailing address
9123 QUEENS BLVD STE B, ELMHURST, NY 11373-5531
(718) 205-2055
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
046220-1
NY
Other
Enumeration date
03/22/2018
Last updated
03/22/2018
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