Organization
DAZZLING SMILE OF ASTORIA D/B/A 82ND STREET DENTAL
Active
Other names
82nd Street Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOOMAN NEMAN DDS (OWNER)
(718) 225-7645
Entity
Organization
Contact information
Practice address
8201 ROOSEVELT AVE, JACKSON HEIGHTS, NY 11372-7034
(718) 476-5555
Mailing address
8201 ROOSEVELT AVE, JACKSON HEIGHTS, NY 11372-7034
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/24/2010
Last updated
02/24/2010
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