104 DENTAL, PLLC

CORONA, NY
NPI1104356476
Entity TypeOrganization
Authorized ContactARTIN SAKHAEE
Owner
718-476-7801
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NY  052701)
Enumeration Date2017-06-19
Last Update Date2022-07-21
Business Address
104 DENTAL, PLLC
10423 ROOSEVELT AVENUE
CORONA, NY 11368-2327
Phone number: 718-426-3000
Mailing Address
104 DENTAL, PLLC
10423 ROOSEVELT AVENUE
CORONA, NY 11368-2327
Phone number: 718-426-3000
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