# ARTEMIS DENTAL PC

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

## Provider details

- **NPI number:** 1689126054
- **Authorized official:** KEVIN WALTROUS (PRESIDENT)
- **Authorized official phone:** (212) 951-0508

## Contact information

- **Practice address:** 1013 BEACH 20TH ST, FAR ROCKAWAY, NY 11691-3925
- **Practice address phone:** (718) 327-1177
- **Mailing address:** 1013 BEACH 20TH ST, FAR ROCKAWAY, NY 11691-3925

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 053124 | NY | Yes |

## Other

- **Enumeration date:** 11/01/2016
- **Last updated:** 11/01/2016