Organization
ADVANCED DENTAL CONCEPTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRA JAY COHEN DDS (OWNER)
(718) 969-1010
Entity
Organization
Contact information
Practice address
18011 UNION TPKE, FRESH MEADOWS, NY 11366-1619
(718) 969-1010
(718) 376-0034
Mailing address
18011 UNION TPKE, FRESH MEADOWS, NY 11366-1619
(718) 969-1010
(718) 376-0034
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
36941
NY
Other
Enumeration date
05/23/2007
Last updated
08/22/2020
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