Organization
LOVE MY SMILE DENTAL PC
Active
Other names
Love My Smile Dental PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS R ACOSTA (GENERAL DENTIST)
(718) 205-2055
Entity
Organization
Contact information
Practice address
9123 QUEENS BLVD STE B, ELMHURST, NY 11373-5531
(718) 205-2055
Mailing address
9123 QUEENS BLVD STE B, ELMHURST, NY 11373-5531
(718) 205-2055
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
046220-1
NY
Other
Enumeration date
03/22/2018
Last updated
03/22/2018
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