Organization
G DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DMITRY GORBUNOV DDS (PRESIDENT)
(718) 746-7714
Entity
Organization
Contact information
Practice address
9123 QUEENS BLVD, ELMHURST, NY 11373-5531
(718) 746-7714
(718) 943-3109
Mailing address
9123 QUEENS BLVD, ELMHURST, NY 11373-5531
(718) 746-7714
(718) 943-3109
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
043066
NY
Other
Enumeration date
09/08/2008
Last updated
09/08/2008
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