Organization · NPI-2

Arista Dental Care, PC

Dentist, General Practice · Astoria, NY

NPI number1851861264
StatusActive
Last updated in NPPESJun 3, 2021

Details

NPI
1851861264
Entity type
Organization (NPI-2)
Legal business name
Arista Dental Care, PC
Organization subpart
No
Enumeration date
Nov 28, 2018
Certification date
Jun 3, 2021
Last updated
Jun 3, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice––Yes

Practice location

3027 30th St
Astoria, NY 11102-2261

Phone 718-721-0330

Mailing address

3027 30th St
Astoria, NY 11102-2261

Phone 718-721-0330

Authorized official

Michael Kokolis
Owner
7187210330

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