Organization
AUSTIN DENTAL CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID TABAROKI DDS (ORAL SURGEON)
(718) 544-4440
Entity
Organization
Contact information
Practice address
10210 QUEENS BLVD, FOREST HILLS, NY 11375-3100
(718) 544-4440
(718) 233-2723
Mailing address
10210 QUEENS BLVD, FOREST HILLS, NY 11375-3100
(718) 544-4440
(718) 233-2723
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
047690
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
052330
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487727319
—
NY
05
—
1598908220
—
NY
Enumeration date
07/22/2010
Last updated
07/22/2010
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