Organization
BAYSIDE FAMILY DENTAL PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIANA SAPIR D.D.S (DENTIST)
(718) 423-2626
Entity
Organization
Contact information
Practice address
21333 39TH AVE STE 302, BAYSIDE, NY 11361-2071
(718) 423-2626
Mailing address
21333 39TH AVE STE 302, BAYSIDE, NY 11361-2071
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
041797
NY
Other
Enumeration date
02/12/2007
Last updated
08/22/2020
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