Organization
ROOSEVELT ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL KALIMIAN DDS (OWNER)
(718) 458-9000
Entity
Organization
Contact information
Practice address
4003 NATIONAL ST, CORONA, NY 11368-2320
(718) 458-9000
Mailing address
4003 NATIONAL ST, CORONA, NY 11368-2320
(718) 458-9000
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
050586
NY
Other
Enumeration date
09/09/2012
Last updated
09/09/2012
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