104 DENTAL, PLLC

Dentist - General Practice

Active Organization
NPI: 1104356476

Practice Address

10423 ROOSEVELT AVENUE
Corona, NY 11368

Phone: (718) 426-3000

Specialties

Specialty Code Primary License
Dentist - General Practice 1223G0001X Yes 052701 (NY)

Frequently Asked Questions

NPI 1104356476 is the National Provider Identifier for 104 DENTAL, PLLC, a Dentist - General Practice provider located in Corona, NY. This NPI was enumerated on June 19, 2017.

Quick Facts

NPI
1104356476
Type
Organization
Enumerated
Jun 19, 2017
Last Updated
Jul 21, 2022

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