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Organization

NORTHERN CITY DENTAL, P.C.

Active
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Organization

NORTHERN CITY DENTAL, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANNA RABICHEV DDS (PRESIDENT)
(917) 476-6161
Entity
Organization

Contact information

Practice address
714 BEACH 20TH ST, FAR ROCKAWAY, NY 11691-3502
(917) 476-6161
Mailing address
714 BEACH 20TH ST, FAR ROCKAWAY, NY 11691-3502
(917) 476-6161

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0441781
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1013052455
NY
Enumeration date
12/03/2009
Last updated
12/03/2009
About Stedi
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