Organization
ASH ESTAFAN DDS P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHRAF M ESTAFAN DDS (PRESIDENT)
(516) 883-6199
Entity
Organization
Contact information
Practice address
14 VANDERVENTER AVE STE 215, PORT WASHINGTON, NY 11050-3777
(516) 883-6199
Mailing address
14 VANDERVENTER AVE STE 215, PORT WASHINGTON, NY 11050-3777
(516) 883-6199
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
049384
NY
Other
Enumeration date
07/12/2013
Last updated
07/12/2013
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