Organization · NPI-2

Aida/USA Corporation

Dentist · Astoria, NY

NPI number1770916991
StatusActive
Last updated in NPPESAug 12, 2013

Details

NPI
1770916991
Entity type
Organization (NPI-2)
Legal business name
Aida/USA Corporation
Organization subpart
No
Enumeration date
Aug 12, 2013
Last updated
Aug 12, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist050192NYYes

Practice location

2120 Broadway
Astoria, NY 11106-4533

Phone 718-255-6193 · Fax 718-255-6271

Mailing address

2120 Broadway
Astoria, NY 11106-4533

Phone 718-255-6193 · Fax 718-255-6271

Authorized official

Dorian Cucereanu
President
7182556271

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