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Organization

DENTAL MADE EASY P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RAFAEL BORUCHOV DDS (OWNER)
(347) 283-2396
Entity
Organization

Contact information

Practice address
11620 QUEENS BLVD, FOREST HILLS, NY 11375-7055
(718) 401-1510
(718) 401-1602
Mailing address
11620 QUEENS BLVD, FOREST HILLS, NY 11375-7055
(718) 401-1510
(718) 401-1602

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
08/08/2016
Last updated
08/08/2016
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