Organization
ARTEMIS DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN WALTROUS (PRESIDENT)
(212) 951-0508
Entity
Organization
Contact information
Practice address
1013 BEACH 20TH ST, FAR ROCKAWAY, NY 11691-3925
(718) 327-1177
Mailing address
1013 BEACH 20TH ST, FAR ROCKAWAY, NY 11691-3925
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
053124
NY
Other
Enumeration date
11/01/2016
Last updated
11/01/2016
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