Organization
ELIDA DENTAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID S GAVLIN DDS (DENTIST/OWNER)
(917) 750-8221
Entity
Organization
Contact information
Practice address
9442 59TH AVE, ELMHURST, NY 11373-5151
(917) 750-8221
(718) 699-1300
Mailing address
9442 59TH AVE, ELMHURST, NY 11373-5151
(917) 750-8221
(718) 699-1300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
048412
NY
Other
Enumeration date
03/14/2016
Last updated
07/19/2021
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