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NPI Provider: 1558352229
Contact Name: Chavez A Luz
Position: President
Phone: (718) 657-9811
Queens Dental Pc Information:
Queens Dental Pc organization have npi 1558352229, taxonomy code is 122300000X with license number is 506501 in . This Business address located in 9030 161st, Jamaica, NY 11432 New York. Get directions of Queens Dental Pc.
Practice Location
Address: 9030 161st, Jamaica, NY 11432
Phone: (718) 657-9811
Business Location
Address: 9030 161st, Jamaica, NY 11432
Phone: (718) 657-9811
Fax: (718) 657-9799
Taxonomy
Taxonomy Code: 122300000X
License Number: 506501
License Number of State: NY
Primary Taxonomy Switch: Y
Enumeration Date: 11/2/2005
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