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Organization
PROHEALTH DENTAL PLLC
Active
Organization
PROHEALTH DENTAL PLLC
Active
Parent organization
PROHEALTH DENTAL PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROHEALTH DENTAL PLLC
Authorized official
NATALYA KOROBEYNYK (RCM)
(516) 654-4400
Entity
Organization
Contact information
Practice address
2914 DITMARS BLVD, ASTORIA, NY 11105-2717
(718) 507-5438
Mailing address
2914 DITMARS BLVD, ASTORIA, NY 11105-2717
(718) 507-5438
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
02/28/2019
Last updated
02/21/2023
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