99-04 57TH AVENUE, INC.

CORONA, NY
NPI1679977680
Entity TypeOrganization
Authorized ContactMARIA E ACEBO
Owner
718-760-0471
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
(Licence: NY  0438701)
Enumeration Date2014-10-20
Last Update Date2014-10-20
Business Address
99-04 57TH AVENUE, INC.
9904 57TH AVE SUITE LH
CORONA, NY 11368-3746
Phone number: 718-760-0471
Mailing Address
99-04 57TH AVENUE, INC.
9904 57TH AVE SUITE LH
CORONA, NY 11368-3746
Phone number: 718-760-0471
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