Organization
MEDIDENTAL GROUP LLC
Active
Other names
MediDental Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EMANUEL INOYATOV (CEO)
(347) 283-2396
Entity
Organization
Contact information
Practice address
2246 31ST ST, ASTORIA, NY 11105-2786
(347) 283-2396
Mailing address
2246 31ST ST, ASTORIA, NY 11105-2786
(347) 283-2396
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
12/26/2018
Last updated
04/15/2025
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