Organization
ASDAQ DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASDAQ KHAKWANI (DENTIST)
(718) 640-4713
Entity
Organization
Contact information
Practice address
10101 43RD. AVE, CORONA, NY 11368-2435
(718) 478-4100
Mailing address
101-01A 43RD. AVE, CORONA, NY 11368-2435
(718) 478-4100
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
051344
NY
Other
Enumeration date
01/21/2011
Last updated
01/21/2011
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