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Organization
QUEENS FAMILY DENTAL LIC
Active
Organization
QUEENS FAMILY DENTAL LIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM ELIADES DDS (OWNER)
(718) 278-5700
Entity
Organization
Contact information
Practice address
2602 DITMARS BLVD, ASTORIA, NY 11105-3123
(718) 278-5700
(718) 278-5794
Mailing address
2602 DITMARS BLVD, ASTORIA, NY 11105-3123
(718) 278-5700
(718) 278-5794
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
037540
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00851547
—
NY
Enumeration date
05/25/2011
Last updated
05/25/2011
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