Organization
ARISTA DENTAL CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL KOKOLIS D.D.S. (OWNER)
(718) 721-0330
Entity
Organization
Contact information
Practice address
3027 30TH ST, ASTORIA, NY 11102-2261
(718) 721-0330
Mailing address
3027 30TH ST, ASTORIA, NY 11102-2261
(718) 721-0330
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02299109
—
NY
Enumeration date
11/28/2018
Last updated
06/03/2021
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