Organization
APEX DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTOINE J PANOSSIAN DMD (OWNER/SURGEON)
(718) 497-9700
Entity
Organization
Contact information
Practice address
7407 MYRTLE AVE, GLENDALE, NY 11385-7433
(718) 497-9700
Mailing address
7407 MYRTLE AVE, GLENDALE, NY 11385-7433
(718) 497-9700
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
049449-1
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
051170-1
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
052799
NY
125J00000X
Dental Therapist
052602
NY
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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