Organization
MAGDY TADROS DDS PC
Active
Other names
Brigth Smile Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAGDY TADROS DDS (OWNER)
(718) 424-4818
Entity
Organization
Contact information
Practice address
6240 WOODHAVEN BLVD, APT #10, REGO PARK, NY 11374-3733
(718) 424-4818
(718) 424-4613
Mailing address
6240 WOODHAVEN BLVD, APT #10, REGO PARK, NY 11374-3733
(718) 424-4818
(718) 424-4613
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
056415
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03706645
—
NY
Enumeration date
08/29/2016
Last updated
08/29/2016
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