Organization
NO TEARS DENTAL PC
Active
Other names
State Family Dental Care PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KONSTANTIN KISELEV (OWNER)
(718) 554-4299
Entity
Organization
Contact information
Practice address
475 SAINT MARKS PL, STATEN ISLAND, NY 10301-2408
(718) 273-0225
(718) 273-0226
Mailing address
42 GIFFORDS LN, STATEN ISLAND, NY 10308-2014
(718) 554-4299
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/13/2017
Last updated
11/13/2017
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