Organization
BRIGHT WHITE DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SALAMON RAFAILOV DDS (DENTIST)
(718) 730-9222
Entity
Organization
Contact information
Practice address
18706 UNION TPKE, FRESH MEADOWS, NY 11366-1705
(718) 730-9222
(718) 730-9117
Mailing address
18706 UNION TPKE, FRESH MEADOWS, NY 11366-1705
(718) 730-9222
(718) 730-9117
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
052850
NY
1223G0001X
General Practice Dentistry
053916
NY
Other
Enumeration date
09/10/2008
Last updated
09/10/2008
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