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Organization
AUSTIN DENTAL CARE, P.C.
Active
Organization
AUSTIN DENTAL CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID TABAROKI DDS (ORAL SURGEON)
(718) 544-4440
Entity
Organization
Contact information
Practice address
10210 QUEENS BLVD, FOREST HILLS, NY 11375-3100
(718) 544-4440
(718) 233-2723
Mailing address
10210 QUEENS BLVD, FOREST HILLS, NY 11375-3100
(718) 544-4440
(718) 233-2723
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
047690
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
052330
NY
Other
Enumeration date
07/22/2010
Last updated
07/22/2010
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