Organization
QUEENS PERIODONTAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN CHADROFF D.D.S (OWNER)
(718) 275-6262
Entity
Organization
Contact information
Practice address
9354 QUEENS BLVD, REGO PARK, NY 11374-1149
(718) 275-6262
(718) 275-6338
Mailing address
9354 QUEENS BLVD, REGO PARK, NY 11374-1149
(718) 275-6262
(718) 275-6338
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
040050
NY
Other
Enumeration date
04/08/2009
Last updated
04/08/2009
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