# SUNNYSIDE DENTAL, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568505360
- **Authorized official:** DR. TATYANA YAPPORT DDS (PRESIDENT)
- **Authorized official phone:** (718) 706-1717

## Contact information

- **Practice address:** 4701 QUEENS BLVD, SUITE 202, SUNNYSIDE, NY 11104-1600
- **Practice address phone:** (718) 706-1717
- **Practice address fax:** (718) 706-7477
- **Mailing address:** 4701 QUEENS BLVD, SUITE 202, SUNNYSIDE, NY 11104-1600
- **Mailing address phone:** (718) 706-1717
- **Mailing address fax:** (718) 706-7477

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 045521 | NY | Yes |

## Other

- **Enumeration date:** 02/14/2007
- **Last updated:** 08/22/2020