Organization
DENTAL FAIRY PC
Active
Other names
Bedford Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ISABEL YUABOV DDS (PRESIDENT)
(347) 357-6787
Entity
Organization
Contact information
Practice address
9830 67TH AVE STE DD, REGO PARK, NY 11374-4944
(718) 459-1040
Mailing address
9830 67TH AVE STE DD, REGO PARK, NY 11374-4944
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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