Organization
DENDAC DENTIST PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FERDOUS HUSNE D.D.S. (VICE PRESIDENT)
(718) 478-1710
Entity
Organization
Contact information
Practice address
3317 30TH AVE, ASTORIA, NY 11103-4680
(718) 267-0500
(718) 267-2784
Mailing address
3317 30TH AVE, ASTORIA, NY 11103-4680
(718) 267-0500
(718) 267-2784
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
043268
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6925
DORAL DENTAL
NY
Enumeration date
04/01/2008
Last updated
04/01/2008
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