Organization
COMFORT DENTAL SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANA WALKER (PRACTICE MANAGER)
(718) 699-9500
Entity
Organization
Contact information
Practice address
5121 108TH ST, CORONA, NY 11368-3304
(718) 699-9500
Mailing address
5121 108TH ST, CORONA, NY 11368-3304
(718) 699-9500
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/29/2006
Last updated
08/22/2020
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