Organization
I SMILE DENTAL CARE SERVICES
Active
Other names
I SMILE DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSETTE IMANI DDS (DR)
(718) 426-3000
Entity
Organization
Contact information
Practice address
8418 37TH AVE, JACKSON HEIGHTS, NY 11372-7339
(718) 426-3000
(718) 426-3002
Mailing address
8418 37TH AVE, JACKSON HEIGHTS, NY 11372-7339
(718) 426-3000
(718) 426-3002
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
052701
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03232054
—
NY
Enumeration date
04/18/2012
Last updated
04/18/2012
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