Organization
G.L DENTAL PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BABAK NAHAVANDI DDS (DENTIST)
(718) 454-4000
Entity
Organization
Contact information
Practice address
22117 JAMAICA AVE, QUEENS VILLAGE, NY 11428-2015
(718) 454-4000
(718) 479-9171
Mailing address
22117 JAMAICA AVE, QUEENS VILLAGE, NY 11428-2015
(718) 454-4000
(718) 479-9171
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
046122
NY
Other
Enumeration date
07/16/2006
Last updated
08/22/2020
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