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Organization

EVERLASTING SMILES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FAEQ K AFRIDI D.D.S (DENTIST)
(646) 833-9111
Entity
Organization

Contact information

Practice address
26701 HILLSIDE AVE, FLORAL PARK, NY 11004-1743
(646) 833-9111
(718) 343-7792
Mailing address
26701 HILLSIDE AVE, FLORAL PARK, NY 11004-1743
(646) 833-9111
(718) 343-7792

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
055684
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03386743
NY
Enumeration date
04/10/2012
Last updated
03/02/2014
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