Organization
SUNNYSIDE DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TATYANA YAPPORT DDS (PRESIDENT)
(718) 706-1717
Entity
Organization
Contact information
Practice address
4701 QUEENS BLVD, SUITE 202, SUNNYSIDE, NY 11104-1600
(718) 706-1717
(718) 706-7477
Mailing address
4701 QUEENS BLVD, SUITE 202, SUNNYSIDE, NY 11104-1600
(718) 706-1717
(718) 706-7477
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
045521
NY
Other
Enumeration date
02/14/2007
Last updated
08/22/2020
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