Organization
ASTORIA DENTAL DESIGN LLC
Active
Other names
Midtown Dental Design
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA SHIVRATTAN (OFFICE MANAGER)
(347) 579-5159
Entity
Organization
Contact information
Practice address
15043 14TH AVE, STE C, WHITESTONE, NY 11357-1817
(212) 572-9800
(347) 436-9569
Mailing address
15043 14TH AVE, STE C, WHITESTONE, NY 11357-1817
(212) 572-9800
(347) 436-9569
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
051604-1
NY
Other
Enumeration date
08/21/2015
Last updated
08/21/2015
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