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Organization
NY GENTLE DENTAL PC
Active
Organization
NY GENTLE DENTAL PC
Active
Other names
Legacy Dental
Organization subpart
No
Provider details
NPI number
Authorized official
ESTER FAZYLOVA DDS (GENERAL DENTIST)
(646) 510-3787
Entity
Organization
Contact information
Practice address
820 MERRICK RD, BALDWIN, NY 11510-3354
(516) 584-0100
Mailing address
6213 CROMWELL CRES, REGO PARK, NY 11374-3937
(646) 510-3787
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/25/2025
Last updated
06/30/2025
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