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1295194363
SIMPLY SMILE DENTAL PC
GLENDALE, NY
NPI
1295194363
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Entity Type
Organization
Authorized Contact
JUAN CARLOS PORTELA
President
347-924-7736
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: NY 053665)
Enumeration Date
2016-02-18
Last Update Date
2016-02-18
Business Address
SIMPLY SMILE DENTAL PC
6222 MYRTLE AVE
GLENDALE, NY 11385-6236
Phone number: 718-821-7432
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Mailing Address
SIMPLY SMILE DENTAL PC
4545 CENTER BLVD APT 2908
LONG ISLAND CITY, NY 11109-5960
Phone number: 347-924-7736
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