Organization
BOULEVARD DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARTHUR E ASADORIAN D.M.D. (PRACTICE OWNER)
(718) 848-7722
Entity
Organization
Contact information
Practice address
10149 WOODHAVEN BLVD, OZONE PARK, NY 11416-2300
(718) 848-7722
(718) 835-1882
Mailing address
10149 WOODHAVEN BLVD, OZONE PARK, NY 11416-2300
(718) 848-7722
(718) 835-1882
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
37375
NY
Other
Enumeration date
08/19/2008
Last updated
08/19/2008
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