# BRAD S HANTVERK DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316207848
- **Authorized official:** DR. BRAD S HANTVERK DDS (OFFICER)
- **Authorized official phone:** (718) 932-8880

## Contact information

- **Practice address:** 2806 STEINWAY ST, ASTORIA, NY 11103-3338
- **Practice address phone:** (718) 932-8880
- **Practice address fax:** (718) 545-6059
- **Mailing address:** 2806 STEINWAY ST, ASTORIA, NY 11103-3338
- **Mailing address phone:** (718) 932-8880
- **Mailing address fax:** (718) 545-6059

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 36010 | NY | Yes |

## Other

- **Enumeration date:** 05/17/2012
- **Last updated:** 05/17/2012