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Organization
KISSENA PLAZA DENTAL P.C.
Active
Organization
KISSENA PLAZA DENTAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VLADIMIR ISAKOV D.D.S (PRESIDENT)
(718) 268-8888
Entity
Organization
Contact information
Practice address
70-64 KISSENA BLVD, 1ST FLOOR, FLUSHING, NY 11367
(718) 268-8888
(718) 268-8889
Mailing address
70-64 KISSENA BLVD, 1ST FLOOR, FLUSHING, NY 11367
(718) 268-8888
(718) 268-8889
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/05/2010
Last updated
08/05/2010
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