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Organization

MODERN DENTAL CONCEPTS OF QUEENS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SILVESTRO IOMMAZZO JR. DDS (PRESIDENT)
(718) 969-1701
Entity
Organization

Contact information

Practice address
176-60 UNION TPKE, SUITE 120, FLUSHING, NY 11366-1531
(718) 969-1701
(718) 969-1058
Mailing address
17660 UNION TPKE, SUITE 120, FLUSHING, NY 11366-1531
(718) 969-1701
(718) 969-1058

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
044312
NY

Other

Enumeration date
05/31/2007
Last updated
11/13/2007
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