Organization
GENTLE FAMILY DENTAL OF ELMHURST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAYAM KASHANI DDS (SOLE MEMBER)
(718) 335-3368
Entity
Organization
Contact information
Practice address
9002 43RD AVE, DENTAL OFFICE, ELMHURST, NY 11373-3472
(718) 335-3368
Mailing address
4 FRANKLIN PL, 1ST FLOOR, GREAT NECK, NY 11023-1211
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
049494
NY
Other
Enumeration date
10/14/2013
Last updated
10/14/2013
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