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Organization

SAMINA HAQUE DMD PLLC

Active
Other names
Hillside Smile Dental Care
Organization subpart
No

Provider details

NPI number
Authorized official
SAMINA HAQUE DMD (DENTIST)
(718) 343-0900
Entity
Organization

Contact information

Practice address
25012 HILLSIDE AVE STE A, BELLEROSE, NY 11426-2139
(718) 343-0900
(718) 343-0901
Mailing address
119 INGRAHAM LN, NEW HYDE PARK, NY 11040-4275
(646) 884-4094

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02709066
NY
Enumeration date
04/15/2020
Last updated
04/15/2020
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