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Organization
RALLIS DENTISTRY OF BAYSIDE,PLLC
Active
Organization
RALLIS DENTISTRY OF BAYSIDE,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS I. RALLIS D.D.S. (MEMBER)
(718) 631-7800
Entity
Organization
Contact information
Practice address
20920 35TH AVE, BAYSIDE, NY 11361-1429
(718) 631-7800
(718) 631-4949
Mailing address
20920 35TH AVE, BAYSIDE, NY 11361-1429
(718) 631-7800
(718) 631-4949
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
—
—
1223P0300X
Periodontics
—
—
Other
Enumeration date
04/03/2007
Last updated
09/11/2025
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