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Organization
IDEAL DENTAL IMPLANTS
Active
Organization
IDEAL DENTAL IMPLANTS
Active
Parent organization
IDEAL DENTAL CARE
Other names
IDI
Organization subpart
Yes
Provider details
NPI number
Legal business name
IDEAL DENTAL CARE
Authorized official
DR. PANAGIOTIS GLAVAS DDS (CEO)
(516) 487-6453
Entity
Organization
Contact information
Practice address
319 WILLIS AVE, MINEOLA, NY 11501-1510
(516) 487-6453
Mailing address
319 WILLIS AVE, MINEOLA, NY 11501-1510
(516) 487-6453
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
047563
NY
Other
Enumeration date
08/06/2014
Last updated
08/13/2014
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