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1568866903
QUEENS DENTAL GROUP
JAMAICA, NY
NPI
1568866903
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Entity Type
Organization
Authorized Contact
MICHAEL DE LORENZO
Dentist
703-870-1415
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: NY 040975)
Enumeration Date
2014-10-14
Last Update Date
2014-10-14
Business Address
QUEENS DENTAL GROUP
11148 157TH ST
JAMAICA, NY 11433-3726
Phone number: 703-870-1415
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Mailing Address
QUEENS DENTAL GROUP
11148 157TH ST
JAMAICA, NY 11433-3726
Phone number: 703-870-1415
Copy
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