Organization
KISSENA DENTAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENYAMIN ILYAYEV (DDS)
(718) 544-7133
Entity
Organization
Contact information
Practice address
7224 KISSENA BLVD, STE 1H, FLUSHING, NY 11367-2729
(718) 544-7133
(718) 544-7133
Mailing address
7224 KISSENA BLVD, STE 1H, FLUSHING, NY 11367-2729
(718) 544-7133
(718) 544-7133
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
048496
NY
Other
Enumeration date
03/13/2007
Last updated
08/22/2020
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