Organization · Type 2 NPI
99-04 57th Avenue, Inc.
Dental Clinic/Center · Corona, NY
NPI number
1679977680
Active
Practice location
9904 57th Ave, Suite Lh
Corona, NY 11368-3746
Fax (718) 760-4739
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 0438701 (NY) |
Dental Clinic/Center: Definition to come...
Another provider at this address
Other dental clinic/center providers in Corona
About NPI 1679977680
99-04 57th Avenue, Inc.'s National Provider Identifier is 1679977680, issued on Oct 20, 2014. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Corona, NY. The record was last updated on Oct 20, 2014.