Organization
AUSTIN DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARANAK BALAZADEH DDS (DENTIST)
(718) 544-4440
Entity
Organization
Contact information
Practice address
7017 AUSTIN ST, #3D, FOREST HILLS, NY 11375-4722
(718) 544-4440
(718) 233-2723
Mailing address
7017 AUSTIN ST, #3D, FOREST HILLS, NY 11375-4722
(718) 544-4440
(718) 233-2723
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02117742
—
NY
05
—
02374876
—
NY
Enumeration date
08/07/2008
Last updated
08/07/2008
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