# DENTAL FAIRY PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bedford Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144914326
- **Authorized official:** DR. ISABEL YUABOV DDS (PRESIDENT)
- **Authorized official phone:** (347) 357-6787

## Contact information

- **Practice address:** 9830 67TH AVE STE DD, REGO PARK, NY 11374-4944
- **Practice address phone:** (718) 459-1040
- **Mailing address:** 9830 67TH AVE STE DD, REGO PARK, NY 11374-4944

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/08/2023
- **Last updated:** 06/08/2023