Organization
HOLLIS DENTAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAGDY ELSHAROUNY D.D.S. (OWNER)
(718) 423-9111
Entity
Organization
Contact information
Practice address
4741 HOLLIS COURT BLVD, FLUSHING, NY 11358-3944
(718) 423-9111
Mailing address
4741 HOLLIS COURT BLVD, FLUSHING, NY 11358-3944
(718) 423-9111
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
043257-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9176501
DORAL
NY
Enumeration date
03/14/2008
Last updated
03/14/2008
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