G Dental PC
Dentist in Elmhurst, NY. Organization (NPI-2).
NPI number1609024231
StatusActive
Last updated in NPPESSep 8, 2008
Details
- NPI
- 1609024231
- Entity type
- Organization (NPI-2)
- Legal business name
- G Dental PC
- Organization subpart
- No
- Enumeration date
- Sep 8, 2008
- Last updated
- Sep 8, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 043066 | NY | Yes |
Practice location
9123 Queens BlvdElmhurst, NY 11373-5531
Phone 718-746-7714 · Fax 718-943-3109
Mailing address
9123 Queens BlvdElmhurst, NY 11373-5531
Phone 718-746-7714 · Fax 718-943-3109
Authorized official
Dmitry Gorbunov
President
7187467714
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