Individual provider · Type 1 NPI

Ariel Bales-Kogan, DMD

Orthodontics and Dentofacial Orthopedics Dentistry · Elmhurst, NY

NPI number 1366639007 Active

Practice location

79-11 41st Ave, Unit A107
Elmhurst, NY 11373

Fax (718) 205-2855

Mailing address

305 W 150th St, Apt 701
New York, NY 10039-2225

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X055373 (NY)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1366639007

Ariel Bales-Kogan, DMD's National Provider Identifier is 1366639007, issued on Sep 26, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Elmhurst, NY. The record was last updated on Apr 25, 2013.