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Organization
QUEENS DENTAL SMILE P.C
Active
Organization
QUEENS DENTAL SMILE P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARHA AVENDANO DDS (PRESIDENT)
(917) 325-0149
Entity
Organization
Contact information
Practice address
25517 NORTHERN BLVD STE A1, LITTLE NECK, NY 11362-1453
(718) 255-3700
Mailing address
25517 NORTHERN BLVD STE A1, LITTLE NECK, NY 11362-1453
(718) 255-3700
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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