Organization
GIL DECHAVEZ DDS PC
Active
Other names
GSmile Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARGARITA R LOZANO (OFFICE MANAGER)
(718) 271-6148
Entity
Organization
Contact information
Practice address
8812 55TH AVE, ELMHURST, NY 11373-4437
(718) 271-6148
(718) 271-6164
Mailing address
8812 55TH AVE, ELMHURST, NY 11373-4437
(718) 271-6148
(718) 271-6164
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1596158347
NPI
NY
Enumeration date
12/16/2018
Last updated
12/16/2018
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