Organization
GREAT CARE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KOUROSH MERHNIA DDS (OWNER)
(718) 291-9456
Entity
Organization
Contact information
Practice address
8928 MERRICK BLVD, JAMAICA, NY 11432-5277
(718) 291-9456
Mailing address
8928 MERRICK BLVD, JAMAICA, NY 11432-5277
(718) 291-9456
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
048121
NY
Other
Enumeration date
09/04/2015
Last updated
09/10/2015
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