Organization
BLAISE GUZZARDO DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BLAISE ANTHONY GUZZARDO DDS (PRESIDENT)
(718) 464-4442
Entity
Organization
Contact information
Practice address
94-71 217TH ST, QUEENS VILLAGE, NY 11428
(718) 464-4442
(718) 464-4509
Mailing address
94-71 217TH ST, QUEENS VILLAGE, NY 11428
(718) 464-4442
(718) 464-4509
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/11/2006
Last updated
10/09/2012
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