Organization
SUZANNE DENTAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYUZANNA ISMAILOVA-ARONOV DDS (PRESIDENT)
(347) 885-4796
Entity
Organization
Contact information
Practice address
10525 63RD DR, FOREST HILLS, NY 11375-1601
(347) 885-4796
Mailing address
10525 63RD DR, FOREST HILLS, NY 11375-1601
(347) 885-4796
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
054068-1
NY
Other
Enumeration date
02/06/2010
Last updated
02/06/2010
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