Organization
NY GENTLE DENTAL PC
Active
Other names
Legacy Dental
Organization subpart
No
Provider details
NPI number
Authorized official
ESTER FAZYLOVA DDS (GENERAL DENTIST)
(646) 510-3787
Entity
Organization
Contact information
Practice address
820 MERRICK RD, BALDWIN, NY 11510-3354
(516) 584-0100
Mailing address
6213 CROMWELL CRES, REGO PARK, NY 11374-3937
(646) 510-3787
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/25/2025
Last updated
06/30/2025
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