Organization
MAGNON REYES DDS PLLC
Active
Other names
Coney Island Dental Arts
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAGNON IVAN REYES DDS (OWNER)
(646) 306-7141
Entity
Organization
Contact information
Practice address
2004 MERMAID AVE, BROOKLYN, NY 11224-2595
(718) 715-0305
Mailing address
3753 91ST ST, JACKSON HEIGHTS, NY 11372-7901
(646) 306-7141
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/08/2020
Last updated
03/08/2020
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