Organization
HEALTHY DENTAL PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARTUR BABABEKOV DDS (DENTIST)
(917) 498-5545
Entity
Organization
Contact information
Practice address
16814 77TH RD, FRESH MEADOWS, NY 11366-1335
(917) 498-5545
Mailing address
16814 77TH RD, FRESH MEADOWS, NY 11366-1335
(917) 498-5545
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
057324
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04055730
—
NY
Enumeration date
09/25/2015
Last updated
09/25/2015
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