Organization
ANA SCOPU DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANA SCOPU DDS (OWNER)
(718) 821-7432
Entity
Organization
Contact information
Practice address
62-22 MYRTLE AVE, GLENDALE, NY 11385
(718) 821-7432
(718) 821-1353
Mailing address
62-22 MYRTLE AVE, GLENDALE, NY 11385
(718) 821-7432
(718) 821-1353
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
053447
NY
Other
Enumeration date
05/03/2011
Last updated
05/03/2011
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