Organization
AY DENTAL SERVICE
Active
Other names
A&E Dental
Organization subpart
No
Provider details
NPI number
Authorized official
AVI YADGAROV DDS (OWNER)
(347) 387-2395
Entity
Organization
Contact information
Practice address
26404 UNION TPKE, FLORAL PARK, NY 11004-1334
(718) 343-2802
Mailing address
6837 YELLOWSTONE BLVD APT C67, FOREST HILLS, NY 11375-3408
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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