Northern City Dental, P.C.
Dentist, General Practice in Far Rockaway, NY. Organization (NPI-2).
NPI number1366770232
StatusActive
Last updated in NPPESDec 3, 2009
Details
- NPI
- 1366770232
- Entity type
- Organization (NPI-2)
- Legal business name
- Northern City Dental, P.C.
- Organization subpart
- No
- Enumeration date
- Dec 3, 2009
- Last updated
- Dec 3, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 0441781 | NY | Yes |
Practice location
714 Beach 20th StFar Rockaway, NY 11691-3502
Phone 917-476-6161
Mailing address
714 Beach 20th StFar Rockaway, NY 11691-3502
Phone 917-476-6161
Authorized official
Anna Rabichev
President
9174766161
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