Organization
COMPLETE SMILES DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBERT ILYAYEV D.D.S. (PRESIDENT)
(646) 637-6997
Entity
Organization
Contact information
Practice address
6574 SAUNDERS ST APT 3E, REGO PARK, NY 11374-4240
(646) 637-6997
Mailing address
7050 AUSTIN ST STE LL124A, FOREST HILLS, NY 11375-4774
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
056803
NY
Other
Enumeration date
07/03/2014
Last updated
07/03/2014
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