Organization
CREATIVE DENTAL OF QUEENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMUR MOZNER D.D.S. (DENTIST)
(718) 459-4700
Entity
Organization
Contact information
Practice address
63-58 WETHEROLE STREET, REGO PARK, NY 11374
(718) 459-4700
(914) 390-9111
Mailing address
63-58 WETHEROLE STREET, REGO PARK, NY 11374
(718) 459-4700
(914) 390-9111
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
048393
NY
Other
Enumeration date
12/23/2014
Last updated
12/23/2014
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