Organization
JAMAICA 18 DENTISTRY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHKAN NASIM D.M.D. (OFFICER/DENTIST)
(718) 850-3000
Entity
Organization
Contact information
Practice address
8701 JAMAICA AVE, WOODHAVEN, NY 11421-2037
(718) 850-3000
Mailing address
8701 JAMAICA AVE, WOODHAVEN, NY 11421-2037
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
054971
NY
Other
Enumeration date
08/31/2011
Last updated
08/31/2011
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