Organization
104 DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARTIN SAKHAEE DDS (OWNER)
(718) 476-7801
Entity
Organization
Contact information
Practice address
10423 ROOSEVELT AVENUE, CORONA, NY 11368-2327
(718) 426-3000
(718) 426-3002
Mailing address
10423 ROOSEVELT AVENUE, CORONA, NY 11368-2327
(718) 426-3000
(718) 426-3002
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
052701
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
052701
—
NY
Enumeration date
06/19/2017
Last updated
07/21/2022
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