Organization
BLVD PLAZA DENTAL PC
Active
Other names
Blvd Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER GEORGE MIHALIOS DDS (OWNER)
(718) 279-8202
Entity
Organization
Contact information
Practice address
4221 FRANCIS LEWIS BLVD, BAYSIDE, NY 11361-2573
(718) 279-8202
(718) 279-8205
Mailing address
4221 FRANCIS LEWIS BLVD, BAYSIDE, NY 11361-2573
(718) 279-8202
(718) 279-8205
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
052418-1
NY
1223P0221X
Pediatric Dentistry
0557791
NY
Other
Enumeration date
02/13/2013
Last updated
02/13/2013
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