Individual
DR. MARC BLUMENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
22024 HILLSIDE AVE, QUEENS VILLAGE, NY 11427-2020
(718) 479-7100
(718) 479-1556
Mailing address
22024 HILLSIDE AVE, QUEENS VILLAGE, NY 11427-2020
(718) 479-7100
(718) 479-1556
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
041623
NY
Other
Enumeration date
10/07/2009
Last updated
10/07/2009
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