Organization
ANGELES & MORALES D.D.S.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE ANGELES D.D.S. (DENTIST)
(718) 471-5543
Entity
Organization
Contact information
Practice address
12511 111TH AVE, SOUTH OZONE PARK, NY 11420-1509
(718) 845-6223
(718) 738-1744
Mailing address
12511 111TH AVE, SOUTH OZONE PARK, NY 11420-1509
(718) 845-6223
(718) 738-1744
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
047307
NY
1223G0001X
General Practice Dentistry
047628
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01975680
—
NY
05
—
02207445
—
NY
Enumeration date
04/13/2007
Last updated
08/22/2020
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