Organization
DYNASTY DENTAL CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER D BORUKHOV DMD (OWNER)
(718) 263-4800
Entity
Organization
Contact information
Practice address
10915 QUEENS BLVD, SUITE 1D, FOREST HILLS, NY 11375-5482
(718) 263-4800
Mailing address
10915 QUEENS BLVD, SUITE 1D, FOREST HILLS, NY 11375-5482
(718) 263-4800
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/26/2017
Last updated
01/26/2017
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