Individual
ASHOKKUMAR DAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
29-15 36TH AVENUE, APT 1DA, LONG ISLAND CITY, NY 11106
(718) 729-0443
Mailing address
11016 63RD RD, FOREST HILLS, NY 11375-1427
(718) 897-6875
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
037152
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00744289
—
NY
Enumeration date
11/02/2007
Last updated
11/02/2007
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