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Organization

BRAD S HANTVERK DDS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRAD S HANTVERK DDS (OFFICER)
(718) 932-8880
Entity
Organization

Contact information

Practice address
2806 STEINWAY ST, ASTORIA, NY 11103-3338
(718) 932-8880
(718) 545-6059
Mailing address
2806 STEINWAY ST, ASTORIA, NY 11103-3338
(718) 932-8880
(718) 545-6059

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
36010
NY

Other

Enumeration date
05/17/2012
Last updated
05/17/2012
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