Organization
PRECISION PERIODONTICS NYC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRENE BOKSER DDS (OWNER)
(718) 224-8280
Entity
Organization
Contact information
Practice address
20124 43RD AVE, BAYSIDE, NY 11361-2545
(718) 224-8280
Mailing address
20124 43RD AVE, BAYSIDE, NY 11361-2545
(718) 224-8280
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
048861-1
NY
Other
Enumeration date
01/07/2016
Last updated
01/07/2016
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