Organization
DENTAL UNIVERSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHIN RAHMANIAN DDS (OWNER)
(718) 805-4444
Entity
Organization
Contact information
Practice address
9110 JAMAICA AVE, WOODHAVEN, NY 11421-2105
(718) 805-4444
(718) 805-4449
Mailing address
9110 JAMAICA AVE, WOODHAVEN, NY 11421-2105
(718) 805-4444
(718) 805-4449
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
052741
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02783824
—
NY
Enumeration date
06/22/2010
Last updated
06/22/2010
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