Organization
MY SMILES ORTHODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMANUEL ABAYEV DDS (PRESIDENT)
(347) 456-1839
Entity
Organization
Contact information
Practice address
7505 PARSONS BLVD, FLUSHING, NY 11366-1037
(718) 380-1230
Mailing address
7505 PARSONS BLVD, FLUSHING, NY 11366-1037
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
056590-1
NY
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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