# VERED MASLAVI, DDS, PC

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

## Provider details

- **NPI number:** 1629265053
- **Authorized official:** VERED MASLAVI DDS (DENTIST, DIRECTOR)
- **Authorized official phone:** (718) 279-0900

## Contact information

- **Practice address:** 4505 FRANCIS LEWIS BLVD, BAYSIDE, NY 11361-3042
- **Practice address phone:** (718) 279-0900
- **Practice address fax:** (718) 279-0929
- **Mailing address:** 2220 WISTERIA DR, SUITE 208, SNELLVILLE, GA 30078-2656
- **Mailing address phone:** (678) 252-2137
- **Mailing address fax:** (678) 336-7099

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 49740 | NY | Yes |

## Other

- **Enumeration date:** 10/01/2007
- **Last updated:** 10/01/2007