Organization · Type 2 NPI
Tina Malakova Dental Services P.c.
Dental Clinic/Center · Elmhurst, NY
NPI number
1194360271
Active
Practice location
9123 Queens Blvd Ste B
Elmhurst, NY 11373-5559
Fax (718) 205-2355
Mailing address
10025 Queens Blvd Apt 5S
Forest Hills, NY 11375-2460
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
3 other providers at this address
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About NPI 1194360271
Tina Malakova Dental Services P.c.'s National Provider Identifier is 1194360271, issued on Nov 12, 2019. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Elmhurst, NY. The record was last updated on Nov 12, 2019.