Organization
FOREST HILLS DENTAL ,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY MARK D.D.S. (OWNER)
(718) 275-9792
Entity
Organization
Contact information
Practice address
10210 66TH RD, SUITE 1D, FOREST HILLS, NY 11375-2047
(718) 275-9792
(718) 997-8362
Mailing address
10210 66TH RD, SUITE 1D, FOREST HILLS, NY 11375-2047
(718) 275-9792
(718) 997-8362
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
046175
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01584454
—
NY
Enumeration date
07/15/2006
Last updated
08/22/2020
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