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Organization

AAA DENTAL PC

Active
Parent organization
REGO PARK DENTAL PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
REGO PARK DENTAL PC
Authorized official
ALLA TEMKIN DDS (DENTIST)
(212) 869-3131
Entity
Organization

Contact information

Practice address
62 WEST 48TH STREET, 2ND FL, NEW YORK, NY 10036
(212) 869-3131
(212) 869-2756
Mailing address
62 WEST 48TH STREET, 2ND FL, NEW YORK, NY 10036
(212) 869-3131
(212) 869-2756

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
045041
NY
1223G0001X
General Practice Dentistry
045471
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01470740
NY
Enumeration date
04/04/2007
Last updated
02/27/2012
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