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Organization
QUEENS VILLAGE DENTAL ASSOCIATES PC
Active
Organization
QUEENS VILLAGE DENTAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN ADAM FLAX D.M.D. (DENTIST / OWNER)
(718) 464-9216
Entity
Organization
Contact information
Practice address
221-10 JAMAICA A., SUITE 103, QUEENS VILLAGE, NY 11428
(718) 464-9216
(718) 464-3953
Mailing address
221-10 JAMAICA A., SUITE 103, QUEENS VILLAGE, NY 11428
(718) 464-9216
(718) 464-3953
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
043393
NY
122300000X
Dentist
043437
NY
Other
Enumeration date
09/05/2008
Last updated
10/07/2017
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