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Organization

FAMOUS DENTAL CARE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHEIKH MD MATIUR RAHMAN D.D.S. (PRESIDENT)
(718) 476-3666
Entity
Organization

Contact information

Practice address
7207 35TH AVE, JACKSON HEIGHTS, NY 11372-4005
(718) 476-3666
(718) 478-4580
Mailing address
7207 35TH AVE, JACKSON HEIGHTS, NY 11372-4005
(718) 476-3666
(718) 478-4580

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
050680
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02405278
NY
Enumeration date
03/21/2008
Last updated
01/24/2013
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