Organization
DR. PAUL ILAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTAL GARCIA (MANAGER)
(718) 843-3222
Entity
Organization
Contact information
Practice address
14930 88TH ST, HOWARD BEACH, NY 11414-1463
(718) 843-3222
(718) 843-4716
Mailing address
14930 88TH ST, HOWARD BEACH, NY 11414-1463
(718) 843-3222
(718) 843-4716
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/02/2022
Last updated
04/02/2022
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