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Organization
RAINBOW DENTAL, PC
Active
Organization
RAINBOW DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NABILA YASMIN MANNAN DDS (DENTIST/OWNER)
(718) 433-0515
Entity
Organization
Contact information
Practice address
2533 36TH AVENUE, LONG ISLAND CITY, NY 11106-3209
(718) 433-0515
(718) 433-0515
Mailing address
2533 36TH AVENUE, LONG ISLAND CITY, NY 11106-3209
(718) 433-0515
(718) 433-0515
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
047199-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01821127
—
NY
Enumeration date
09/24/2008
Last updated
09/24/2008
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