Organization
EXECUTIVE SMILES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARSHIA GOLIAN DDS (DENTIST)
(516) 792-6533
Entity
Organization
Contact information
Practice address
460 ATLANTIC AVE, EAST ROCKAWAY, NY 11518-1547
(516) 792-6533
(516) 792-6533
Mailing address
47 STEPPING STONE LN, GREAT NECK, NY 11024-1313
(516) 792-6533
(516) 792-6533
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
057005-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03800300
—
NY
Enumeration date
08/16/2018
Last updated
08/16/2018
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