Organization
ASTORIA DENTAL STUDIO, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LENA SAPOZHNIKOFF DDS (PRESIDENT)
(718) 545-7046
Entity
Organization
Contact information
Practice address
3018 31ST AVE, ASTORIA, NY 11106-2405
(718) 545-7046
Mailing address
3018 31ST AVE, ASTORIA, NY 11106-2405
(718) 545-7046
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
054200
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03238213
—
NY
Enumeration date
10/18/2011
Last updated
01/10/2012
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