Organization
NORTH ISLAND DENTAL ARTS CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAILASH KAUR (PRESIDENT)
(718) 916-3900
Entity
Organization
Contact information
Practice address
1613 HILLSIDE AVE, NEW HYDE PARK, NY 11040-2603
(516) 616-4800
(315) 825-4788
Mailing address
129 MOORE ST, NEW HYDE PARK, NY 11040-1344
(718) 916-3900
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
58414-1
NY
Other
Enumeration date
09/06/2017
Last updated
09/06/2017
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