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Organization
QUEENS DENTAL ASSOCIATES PC
Active
Organization
QUEENS DENTAL ASSOCIATES PC
Active
Other names
Queens Center Dental PC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEXANDER MIKHALIOU DDS (PRESIDENT)
(718) 760-1616
Entity
Organization
Contact information
Practice address
90-15 QUEENS BLVD, ELMHURST, NY 11373
(718) 760-1616
(718) 760-9641
Mailing address
90-15 QUEENS BLVD, ELMHURST, NY 11373
(718) 760-1616
(718) 760-9641
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02663298
—
NY
Enumeration date
08/04/2006
Last updated
09/11/2025
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