Organization
FAMILY CHOICE DENTAL CARE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMIH A ATTIA D.M.D. (PRESIDENT)
(718) 576-3371
Entity
Organization
Contact information
Practice address
6622 FRESH POND RD, RIDGEWOOD, NY 11385-3305
(718) 576-3371
(718) 576-3381
Mailing address
6622 FRESH POND RD, RIDGEWOOD, NY 11385-3305
(718) 576-3371
(718) 576-3381
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
046932
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0239086
—
NY
Enumeration date
12/25/2011
Last updated
12/25/2011
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