Organization
KIDS DENTAL VILLAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI ATTAIE DDS (FOUNDER/PEDIATRIC DENTIST)
(718) 899-5437
Entity
Organization
Contact information
Practice address
3905 61ST ST, 2ND FLOOR, WOODSIDE, NY 11377-3566
(718) 899-5437
Mailing address
39-05 61ST STREET, 2ND FLOOR, WOODSIDE, NY 11377-3566
(718) 899-5437
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
052251
NY
Other
Enumeration date
08/14/2008
Last updated
08/14/2008
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