Organization
PARK DENTAL CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OLEG P KLEMPNER D.D.S (PRESIDENT)
(718) 565-5445
Entity
Organization
Contact information
Practice address
9101 63RD DR, REGO PARK, NY 11374-3849
(718) 565-5445
(718) 565-0952
Mailing address
9101 63RD DR, REGO PARK, NY 11374-3849
(718) 565-5445
(718) 565-0952
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
044129-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01380441
—
NY
Enumeration date
10/19/2005
Last updated
08/22/2020
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