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Organization
NEW SMILE ASTORIA DENTISTRY
Active
Organization
NEW SMILE ASTORIA DENTISTRY
Active
Other names
New Smile Astoria Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
YACLYN CUEVAS (MANAGER)
(917) 601-7058
Entity
Organization
Contact information
Practice address
3018 31ST AVE, ASTORIA, NY 11106-2405
(718) 806-1331
Mailing address
3018 31ST AVE, ASTORIA, NY 11106-2405
(718) 806-1331
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04227950
—
NY
Enumeration date
04/23/2020
Last updated
04/23/2020
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