NPI | 1093723082 |
---|---|
Doing Business As | QUEENS CENTER DENTAL PC |
Entity Type | Organization |
Authorized Contact | ALEXANDER MIKHALIOU President 718-760-1616 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry |
1223P0300X Dentist, Periodontics | |
Enumeration Date | 2006-08-04 |
Last Update Date | 2020-08-22 |