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Organization
KINGS 26 DENTISTRY
Active
Organization
KINGS 26 DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FARAMARZ KHALILI DDS (PRIMARY PROVIDER)
(718) 843-4444
Entity
Organization
Contact information
Practice address
10504 CROSSBAY BLVD, 2ND FLOOR, OZONE PARK, NY 11417-1515
(718) 843-4444
(718) 843-5097
Mailing address
10504 CROSSBAY BLVD, 2ND FLOOR, OZONE PARK, NY 11417-1515
(718) 843-4444
(718) 843-5097
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
047305
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01804719
—
NY
Enumeration date
09/25/2008
Last updated
09/25/2008
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