Ekdental P.C
Dentist in Glendale, NY. Organization (NPI-2).
NPI number1275217853
StatusActive
Last updated in NPPESJun 14, 2023
Details
- NPI
- 1275217853
- Entity type
- Organization (NPI-2)
- Legal business name
- Ekdental P.C
- Organization subpart
- No
- Enumeration date
- Jun 14, 2023
- Certification date
- Jun 12, 2023
- Last updated
- Jun 14, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Practice location
6503 Myrtle AveGlendale, NY 11385-6248
Phone 718-502-9659 · Fax 718-821-1471
Mailing address
6503 Myrtle AveGlendale, NY 11385-6248
Phone 718-502-9659
Authorized official
Elina Kariyeva
Dentist
6465939019
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