Organization
DENTAL ARTS KEW GARDENS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW CROUCH (OFFICE MANAGER)
(718) 441-0049
Entity
Organization
Contact information
Practice address
12320 METROPOLITAN AVE, KEW GARDENS, NY 11415-2710
(718) 441-0049
(718) 441-0537
Mailing address
12320 METROPOLITAN AVE, KEW GARDENS, NY 11415-2710
(718) 441-0049
(718) 441-0537
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
057816
NY
Other
Enumeration date
05/23/2016
Last updated
05/23/2016
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