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Organization
QUEENS DENTAL PC
Active
Organization
QUEENS DENTAL PC
Active
Other names
Inwood Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ERICKA MAYORGA (MANAGER)
(347) 677-2110
Entity
Organization
Contact information
Practice address
85 DOUGHTY BLVD, INWOOD, NY 11096-2001
(516) 239-3283
(516) 371-0390
Mailing address
85 DOUGHTY BLVD, INWOOD, NY 11096-2001
(516) 239-3283
(516) 371-0390
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0506501
NY
Other
Enumeration date
03/31/2015
Last updated
03/31/2015
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