Organization
AUSTIN DENTAL PLUS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SYLVESTER ANTHONY EVANGELISTA DDS (OWNER)
(718) 544-5055
Entity
Organization
Contact information
Practice address
110-74 QUEENS BLVD, FOREST HILLS, NY 11375
(718) 544-5055
Mailing address
110-74 QUEENS BLVD, FOREST HILLS, NY 11375
(718) 544-5055
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
48294
NY
Other
Enumeration date
12/01/2014
Last updated
12/01/2014
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